SANFORD JAY NITZKIN 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

SANFORD JAY

Last Name

NITZKIN

Business Name

SANFORD JAY NITZKIN

Original Issue Date

10/12/1984

Effective Date

10/12/1984

Expiration Date

09/30/1988

City

CHICAGO

State

Zip

60626

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/13/2005