SANDRA E SANSANO Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

RESTRICTED FACULTY LICENSE

License Number

136000054

License Status

NOT RENEWED

Business

First Name

SANDRA

Middle

Last Name

SANSANO

Business Name

SANDRA E SANSANO

Original Issue Date

09/28/1998

Effective Date

09/28/1998

Expiration Date

09/01/2003

City

CHICAGO

State

Zip

60611

County

COOK

Ever Disciplined

LastModifiedDate

10/13/2005