SANDRA G FISHER DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****58

License Status

NOT RENEWED

Business

First Name

SANDRA G

Last Name

FISHER

Suffix

DDS

Business Name

SANDRA G FISHER DDS

Original Issue Date

10/06/1997

Effective Date

09/30/2009

Expiration Date

09/30/2012

City

CHICAGO

State

Zip

60639

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/14/2012