TERRY M SANDROFF Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

DENTAL SEDATION PERMIT

License Number

137000261

License Status

NOT RENEWED

Business

First Name

TERRY M

Last Name

SANDROFF

Business Name

TERRY M SANDROFF

Original Issue Date

07/19/1990

Effective Date

06/07/2018

Expiration Date

01/31/2022

City

BLOOMINGDALE

State

Zip

60108

County

DUPAGE

Specialty/Qualifier

CONSCIOUS SEDATION, PARENTERAL

Ever Disciplined

LastModifiedDate

05/09/2022