LEAH FAX DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****63

License Status

ACTIVE

Business

Title

DDS

First Name

LEAH

Last Name

FAX

Business Name

LEAH FAX DDS

Original Issue Date

10/29/2025

Effective Date

10/29/2025

Expiration Date

09/30/2027

City

LA GRANGE PARK

State

Zip

60526

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

10/29/2025