ANNE CUSHING LA VALLE DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****23

License Status

ACTIVE

Business

First Name

ANNE CUSHING

Last Name

LA VALLE

Suffix

DDS

Business Name

ANNE CUSHING LA VALLE DDS

Original Issue Date

09/22/1992

Effective Date

08/30/2024

Expiration Date

09/30/2027

City

DOWNERS GROVE

State

Zip

60515

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

08/30/2024