BERNARD SANDERS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****02

License Status

NOT RENEWED

Business

First Name

BERNARD

Last Name

SANDERS

Business Name

BERNARD SANDERS

Original Issue Date

07/11/1984

Effective Date

07/11/1984

Expiration Date

09/30/1986

City

GREAT LAKES

State

Zip

60088

County

LAKE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/13/2005