DANIEL M SENDERAK 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

DANIEL M

Last Name

SENDERAK

Business Name

DANIEL M SENDERAK

Original Issue Date

10/11/1985

Effective Date

09/24/2015

Expiration Date

09/30/2018

City

SYCAMORE

State

Zip

60178

County

DEKALB

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/31/2018