RODNEY HAROLD VANSANDT Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****38

License Status

INACTIVE

Business

First Name

RODNEY HAROLD

Last Name

VANSANDT

Business Name

RODNEY HAROLD VANSANDT

Original Issue Date

07/25/1985

Effective Date

08/15/2018

Expiration Date

12/31/2021

City

SPRINGFIELD

State

Zip

62704

County

SANGAMON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/25/2021