DEANNE MAE DE LEON DMD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****24

License Status

ACTIVE

Business

First Name

DEANNE

Middle

MAE

Last Name

DE LEON

Suffix

DMD

Business Name

DEANNE MAE DE LEON DMD

Original Issue Date

08/14/2013

Effective Date

08/14/2024

Expiration Date

09/30/2027

City

LOMBARD

State

Zip

60148

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

08/14/2024