SANDRA K ALTARAWNEH Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****71

License Status

NOT RENEWED

Business

First Name

SANDRA

Middle

Last Name

ALTARAWNEH

Business Name

SANDRA K ALTARAWNEH

Original Issue Date

11/19/2019

Effective Date

12/27/2021

Expiration Date

09/30/2024

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/04/2025