SHERDON WADE CORDOVA DDS Dentist License verification

Business Entity

CANCELLED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****35

License Status

CANCELLED

Business

First Name

SHERDON

Middle

WADE

Last Name

CORDOVA

Suffix

DDS

Business Name

SHERDON WADE CORDOVA DDS

Original Issue Date

03/21/2006

Effective Date

07/24/2006

Expiration Date

09/30/2009

City

URBANA

State

Zip

61801

County

CHAMPAIGN

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/04/2009