JERRY J LEBEDA JR Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****63

License Status

ACTIVE

Business

First Name

JERRY J

Last Name

LEBEDA JR

Business Name

JERRY J LEBEDA JR

Original Issue Date

10/12/1990

Effective Date

08/07/2024

Expiration Date

09/30/2027

City

BOURBONNAIS

State

Zip

60914

County

KANKAKEE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

08/07/2024