SUZY AZALEA DMD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****26

License Status

ACTIVE

Business

First Name

SUZY

Last Name

AZALEA

Suffix

DMD

Business Name

SUZY AZALEA DMD

Original Issue Date

09/16/1998

Effective Date

05/14/2024

Expiration Date

09/30/2027

City

BOLINGBROOK

State

Zip

60440

County

WILL

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/14/2024