SHELDON WALLACH DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

DENTAL SEDATION PERMIT

License Number

137000577

License Status

NOT RENEWED

Business

First Name

SHELDON

Last Name

WALLACH

Suffix

DDS

Business Name

SHELDON WALLACH DDS

Original Issue Date

12/27/2002

Effective Date

07/24/2006

Expiration Date

09/30/2009

City

PARK FOREST

State

Zip

60466

County

WILL

Specialty/Qualifier

Deep Sedation and General Anesthesia

Ever Disciplined

LastModifiedDate

11/04/2009