MARK RICHARD SANDRIK Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****92

License Status

ACTIVE

Business

First Name

MARK RICHARD

Last Name

SANDRIK

Business Name

MARK RICHARD SANDRIK

Original Issue Date

01/07/1985

Effective Date

09/27/2024

Expiration Date

09/30/2027

City

CHICAGO

State

Zip

60638

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/27/2024