JOHN ALAN SANDERSON DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****13

License Status

NOT RENEWED

Business

First Name

JOHN ALAN

Last Name

SANDERSON

Suffix

DDS

Business Name

JOHN ALAN SANDERSON DDS

Original Issue Date

02/26/1990

Effective Date

02/26/1990

Expiration Date

09/30/2002

City

OAK LAWN

State

Zip

60010

County

COOK

Controlled Substance Schedule

II III IV

Ever Disciplined

LastModifiedDate

10/17/2005