ELYSIA LEERA AN DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****75

License Status

ACTIVE

Business

First Name

ELYSIA

Middle

LEERA

Last Name

Suffix

DDS

Business Name

ELYSIA LEERA AN DDS

Original Issue Date

09/01/2005

Effective Date

09/26/2024

Expiration Date

09/30/2027

City

AURORA

State

Zip

60503

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2024