STEVEN JORDAN BACALAR DMD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****95

License Status

ACTIVE

Business

Title

DMD

First Name

STEVEN

Middle

JORDAN

Last Name

BACALAR

Business Name

STEVEN JORDAN BACALAR DMD

Original Issue Date

07/17/2014

Effective Date

08/04/2024

Expiration Date

09/30/2027

City

WILMETTE

State

Zip

60091

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

08/04/2024