SHEILA MARIE VACENDAK DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****79

License Status

NOT RENEWED

Business

First Name

SHEILA

Middle

MARIE

Last Name

VACENDAK

Suffix

DDS

Business Name

SHEILA MARIE VACENDAK DDS

Original Issue Date

01/25/2008

Effective Date

01/25/2008

Expiration Date

09/30/2009

City

CHICAGO

State

Zip

60637

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV

Ever Disciplined

LastModifiedDate

11/04/2009