SANDRA MIRANDA Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020010190

License Status

NOT RENEWED

Business

First Name

SANDRA

Last Name

MIRANDA

Business Name

SANDRA MIRANDA

Original Issue Date

10/04/2001

Effective Date

10/01/2009

Expiration Date

09/30/2012

City

ELGIN

State

Zip

60120

County

KANE

Ever Disciplined

LastModifiedDate

11/14/2012