SANDRA E SANSANO - Dentist License in Illinois | # 136000054

SANDRA E SANSANO

Business Entity

NOT RENEWED

License Type

Dentist

Description

RESTRICTED FACULTY LICENSE

License Number

136000054

License Status

NOT RENEWED

Business

N

First Name

SANDRA

Middle

E

Last Name

SANSANO

Business Name

SANDRA E SANSANO

Original Issue Date

09/28/1998

Effective Date

09/28/1998

Expiration Date

09/01/2003

State

IL

Ever Disciplined

N

LastModifiedDate

10/13/2005