STEVEN G SORENSON DMD 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

STEVEN G

Last Name

SORENSON

Suffix

DMD

Business Name

STEVEN G SORENSON DMD

Original Issue Date

01/01/1998

Effective Date

06/12/2015

Expiration Date

09/30/2018

City

POLO

State

Zip

61064

County

OGLE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/31/2018