TERRY M SANDROFF Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****52

License Status

NOT RENEWED

Business

First Name

TERRY M

Last Name

SANDROFF

Business Name

TERRY M SANDROFF

Original Issue Date

01/10/1986

Effective Date

06/07/2018

Expiration Date

01/31/2022

City

ARLINGTON HEIGHTS

State

Zip

60005

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/09/2022