LEE M CERESA DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****24

License Status

ACTIVE

Business

First Name

LEE

Middle

Last Name

CERESA

Suffix

DDS

Business Name

LEE M CERESA DDS

Original Issue Date

08/04/1999

Effective Date

06/07/2024

Expiration Date

09/30/2027

City

PERU

State

Zip

61354

County

LA SALLE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/07/2024