LEESA ANN SASIC MITSOS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****84

License Status

ACTIVE

Business

First Name

LEESA ANN SASIC

Last Name

MITSOS

Business Name

LEESA ANN SASIC MITSOS

Original Issue Date

09/29/1983

Effective Date

09/03/2024

Expiration Date

09/30/2027

City

NEW LENOX

State

Zip

60451

County

WILL

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/03/2024