SASHA B ROSS DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019027731

License Status

NOT RENEWED

Business

Title

DMD

First Name

SASHA

Middle

Last Name

ROSS

Business Name

SASHA B ROSS DMD

Original Issue Date

06/27/2008

Effective Date

07/27/2009

Expiration Date

09/30/2012

City

CHICAGO

State

Zip

60610

County

COOK

Ever Disciplined

LastModifiedDate

11/14/2012