SARA B RUDOLPH DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****46

License Status

NOT RENEWED

Business

First Name

SARA

Middle

Last Name

RUDOLPH

Suffix

DDS

Business Name

SARA B RUDOLPH DDS

Original Issue Date

06/25/2003

Effective Date

11/19/2012

Expiration Date

09/30/2015

City

CHICAGO

State

Zip

60615

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/08/2016