SANDRA E SANSANO Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018000001

License Status

NOT RENEWED

Business

First Name

SANDRA

Middle

Last Name

SANSANO

Business Name

SANDRA E SANSANO

Original Issue Date

04/24/1998

Effective Date

04/24/1998

Expiration Date

06/30/1999

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Advanced General Dentistry

Ever Disciplined

LastModifiedDate

10/12/2005