SASHA ALEXANDER DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****30

License Status

NOT RENEWED

Business

First Name

SASHA

Last Name

ALEXANDER

Suffix

DDS

Business Name

SASHA ALEXANDER DDS

Original Issue Date

06/28/2007

Effective Date

03/10/2010

Expiration Date

09/30/2012

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/14/2012