HAROLD JAY SANDERCOCK Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****32

License Status

NOT RENEWED

Business

First Name

HAROLD JAY

Last Name

SANDERCOCK

Business Name

HAROLD JAY SANDERCOCK

Original Issue Date

01/01/1998

Effective Date

10/03/2012

Expiration Date

09/30/2015

City

BOLINGBROOK

State

Zip

60490

County

WILL

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/08/2016