JAMES WALTER SODERSTROM DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****48

License Status

NOT RENEWED

Business

First Name

JAMES

Middle

WALTER

Last Name

SODERSTROM

Suffix

DDS

Business Name

JAMES WALTER SODERSTROM DDS

Original Issue Date

01/01/1998

Effective Date

09/11/2018

Expiration Date

01/31/2022

City

AURORA

State

Zip

60506

County

KANE

Controlled Substance Schedule

II III IV

Ever Disciplined

LastModifiedDate

05/09/2022