TERRY M SANDROFF Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****57

License Status

NOT RENEWED

Business

First Name

TERRY M

Last Name

SANDROFF

Business Name

TERRY M SANDROFF

Original Issue Date

05/02/2001

Effective Date

06/07/2018

Expiration Date

01/31/2022

City

BLOOMINGDALE

State

Zip

60108

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/09/2022