SHELDON WALLACH DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****04

License Status

NOT RENEWED

Business

First Name

SHELDON

Last Name

WALLACH

Suffix

DDS

Business Name

SHELDON WALLACH DDS

Original Issue Date

05/25/1979

Effective Date

07/24/2006

Expiration Date

09/30/2009

City

PARK FOREST

State

Zip

60466

County

WILL

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/04/2009