SANDRA M KORN Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020001226

License Status

NOT RENEWED

Business

First Name

SANDRA M

Last Name

KORN

Business Name

SANDRA M KORN

Original Issue Date

12/08/1969

Effective Date

12/08/1969

City

PARK FOREST SOUTH

State

Zip

60466

County

COOK

Ever Disciplined

LastModifiedDate

10/12/2005