AMANDA HALLER DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****59

License Status

ACTIVE

Business

Title

DDS

First Name

AMANDA

Last Name

HALLER

Business Name

AMANDA HALLER DDS

Original Issue Date

06/16/2023

Effective Date

05/01/2024

Expiration Date

09/30/2027

City

PALOS HEIGHTS

State

Zip

60463

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

08/05/2024