ANDREA R LEDERMAN DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****76

License Status

NOT RENEWED

Business

First Name

ANDREA R

Last Name

LEDERMAN

Suffix

DDS

Business Name

ANDREA R LEDERMAN DDS

Original Issue Date

06/13/1994

Effective Date

12/09/2021

Expiration Date

09/30/2024

City

SKOKIE

State

Zip

60077

County

COOK

Controlled Substance Schedule

II III IV

Ever Disciplined

LastModifiedDate

02/04/2025