SANDRA YUSIM Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020001417

License Status

NOT RENEWED

Business

First Name

SANDRA

Last Name

YUSIM

Business Name

SANDRA YUSIM

Original Issue Date

12/07/1970

Effective Date

08/03/2012

Expiration Date

09/30/2015

City

LINCOLNSHIRE

State

Zip

60069

County

LAKE

Ever Disciplined

LastModifiedDate

04/25/2016