ELISSA LAUREN TEASDALE DMD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****03

License Status

ACTIVE

Business

Title

DMD

First Name

ELISSA

Middle

LAUREN

Last Name

TEASDALE

Business Name

ELISSA LAUREN TEASDALE DMD

Original Issue Date

08/01/2019

Effective Date

09/16/2024

Expiration Date

09/30/2027

City

CHICAGO

State

Zip

60616

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/16/2024