LESLIE BENJAMIN HEFFEZ Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****01

License Status

ACTIVE

Business

First Name

LESLIE BENJAMIN

Last Name

HEFFEZ

Business Name

LESLIE BENJAMIN HEFFEZ

Original Issue Date

05/27/1982

Effective Date

07/09/2024

Expiration Date

09/30/2027

City

HIGHLAND PARK

State

Zip

60035

County

LAKE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/09/2024