LESLY Y BANOS DMD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****17

License Status

ACTIVE

Business

Title

DMD

First Name

LESLY

Middle

Last Name

BANOS

Business Name

LESLY Y BANOS DMD

Original Issue Date

07/24/2023

Effective Date

09/02/2024

Expiration Date

09/30/2027

City

HOFFMAN ESTATES

State

Zip

60192

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/02/2024