RONALD BRIAN SERSHON 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

RONALD BRIAN

Last Name

SERSHON

Business Name

RONALD BRIAN SERSHON

Original Issue Date

08/23/1983

Effective Date

07/24/2006

Expiration Date

09/30/2009

City

CHICAGO

State

Zip

60631

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/04/2009