SANFORD LEE BLOCK DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****24

License Status

NOT RENEWED

Business

First Name

SANFORD LEE

Last Name

BLOCK

Suffix

DDS

Business Name

SANFORD LEE BLOCK DDS

Original Issue Date

01/01/1998

Effective Date

09/05/2018

Expiration Date

01/31/2022

City

HIGHLAND PARK

State

Zip

60035

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/09/2022