SARAH DOUGLAS-BROTEN Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****31

License Status

NOT RENEWED

Business

First Name

SARAH

Last Name

DOUGLAS-BROTEN

Business Name

SARAH DOUGLAS-BROTEN

Original Issue Date

12/09/1987

Effective Date

12/09/1987

Expiration Date

09/30/1990

City

ORLAND PARK

State

Zip

60462

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/13/2005