ANDREA NICHOLE SIDLE DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****33

License Status

NOT RENEWED

Business

First Name

ANDREA

Middle

NICHOLE

Last Name

SIDLE

Suffix

DDS

Business Name

ANDREA NICHOLE SIDLE DDS

Original Issue Date

12/17/2013

Effective Date

12/17/2013

Expiration Date

09/30/2015

City

LA GRANGE PARK

State

Zip

60526

County

COOK

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

02/08/2016