DEREK LEO O'CONNOR DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****68

License Status

ACTIVE

Business

Title

DDS

First Name

DEREK

Middle

LEO

Last Name

O'CONNOR

Business Name

DEREK LEO O'CONNOR DDS

Original Issue Date

07/07/2021

Effective Date

08/26/2024

Expiration Date

09/30/2027

City

BOURBONNAIS

State

Zip

60914

County

KANKAKEE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

08/26/2024