CATHRYN A SANSOUCI DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019022372

License Status

ACTIVE

Business

Title

DDS

First Name

CATHRYN

Middle

Last Name

SANSOUCI

Business Name

CATHRYN A SANSOUCI DDS

Original Issue Date

02/01/1991

Effective Date

10/01/2024

Expiration Date

09/30/2027

City

ROCKFORD

State

Zip

61108

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

12/10/2024

Case Number

1994002509

Action

Probation

Discipline Start Date

11/02/1994

Discipline End Date

06/03/2004

Discipline Reason

Defaulted on an Illinois Student Assistance loan.