SHERRILL FAY MD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

DENTAL SEDATION PERMIT

License Number

137001096

License Status

ACTIVE

Business

Title

First Name

SHERRILL

Last Name

FAY

Business Name

SHERRILL FAY MD

Original Issue Date

05/03/2022

Effective Date

09/04/2024

Expiration Date

09/30/2027

City

CRYSTAL LAKE

State

Zip

60012

Specialty/Qualifier

DEEP SEDATION AND GENERAL ANESTHESIA

Ever Disciplined

LastModifiedDate

09/04/2024