STEVEN DANIEL HENNESSY Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****49

License Status

INACTIVE

Business

First Name

STEVEN DANIEL

Last Name

HENNESSY

Business Name

STEVEN DANIEL HENNESSY

Original Issue Date

08/22/1985

Effective Date

06/12/2015

Expiration Date

09/30/2018

City

RIVERSIDE

State

Zip

60546

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/07/2018