CASSIDY VERONICA LANE DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****15

License Status

ACTIVE

Business

Title

DDS

First Name

CASSIDY

Middle

VERONICA

Last Name

LANE

Business Name

CASSIDY VERONICA LANE DDS

Original Issue Date

08/23/2019

Effective Date

08/12/2024

Expiration Date

09/30/2027

City

OAK PARK

State

Zip

60302

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

08/12/2024