CONSTANCE K SANDELL DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****67

License Status

NOT RENEWED

Business

First Name

CONSTANCE K

Last Name

SANDELL

Suffix

DDS

Business Name

CONSTANCE K SANDELL DDS

Original Issue Date

05/20/1983

Effective Date

05/20/1983

Expiration Date

09/30/2004

City

ELMHURST

State

Zip

60126

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/17/2005