SHANDRA LOLITA BUNDY-SMITH Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****70

License Status

ACTIVE

Business

First Name

SHANDRA LOLITA

Last Name

BUNDY-SMITH

Business Name

SHANDRA LOLITA BUNDY-SMITH

Original Issue Date

11/13/1995

Effective Date

07/30/2024

Expiration Date

09/30/2027

City

HARVEY

State

Zip

60426

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/30/2024