ANDA F SOKALSKI Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****17

License Status

NOT RENEWED

Business

First Name

ANDA F

Last Name

SOKALSKI

Business Name

ANDA F SOKALSKI

Original Issue Date

07/09/1976

Effective Date

09/28/2012

Expiration Date

09/30/2015

City

ELMHURST

State

Zip

60126

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/08/2016