LYDIA M SOSENKO DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****84

License Status

ACTIVE

Business

First Name

LYDIA M

Last Name

SOSENKO

Suffix

DDS

Business Name

LYDIA M SOSENKO DDS

Original Issue Date

12/11/1990

Effective Date

07/16/2024

Expiration Date

09/30/2027

City

ORLAND PARK

State

Zip

60467

County

COOK

Controlled Substance Schedule

II III IV

Ever Disciplined

LastModifiedDate

07/16/2024