HANITA SIDANA Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****85

License Status

NOT RENEWED

Business

First Name

HANITA

Last Name

SIDANA

Business Name

HANITA SIDANA

Original Issue Date

09/26/1996

Effective Date

09/26/1996

Expiration Date

09/30/2006

City

ELGIN

State

Zip

60123

County

KANE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/08/2006