SHERYL M NISSENBAUM Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020002463

License Status

NOT RENEWED

Business

First Name

SHERYL M

Last Name

NISSENBAUM

Business Name

SHERYL M NISSENBAUM

Original Issue Date

02/11/1975

Effective Date

02/11/1975

City

WHEATON

State

Zip

60187

County

DUPAGE

Ever Disciplined

LastModifiedDate

10/12/2005