JERRY LEE SODERSTROM DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019018865

License Status

NOT RENEWED

Business

First Name

JERRY

Middle

LEE

Last Name

SODERSTROM

Suffix

DDS

Business Name

JERRY LEE SODERSTROM DDS

Original Issue Date

10/03/1983

Effective Date

10/03/1983

Expiration Date

09/30/2004

City

CHICAGO

State

Zip

60657

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005