RANDI ELYN SMULSON Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****77

License Status

ACTIVE

Business

First Name

RANDI

Middle

ELYN

Last Name

SMULSON

Business Name

RANDI ELYN SMULSON

Original Issue Date

08/05/2008

Effective Date

09/04/2024

Expiration Date

09/30/2027

City

SKOKIE

State

Zip

60076

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/04/2024