LEONARD MAIDA Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****46

License Status

ACTIVE

Business

First Name

LEONARD

Last Name

MAIDA

Business Name

LEONARD MAIDA

Original Issue Date

09/11/1987

Effective Date

07/25/2024

Expiration Date

09/30/2027

City

CHICAGO

State

Zip

60638

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/25/2024