SARAH SOURIALLE DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****79

License Status

NOT RENEWED

Business

Title

DMD

First Name

SARAH

Last Name

SOURIALLE

Business Name

SARAH SOURIALLE DMD

Original Issue Date

07/15/2023

Effective Date

07/15/2023

Expiration Date

09/30/2024

City

CHICAGO

State

Zip

60654

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/04/2025