ERIN EDEN GUNDERSON - Dentist License in Pennsylvania | # 31*****24

ERIN EDEN GUNDERSON

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****24

License Status

NOT RENEWED

Business

N

First Name

ERIN

Middle

EDEN

Last Name

GUNDERSON

Business Name

ERIN EDEN GUNDERSON

Original Issue Date

06/05/2017

Effective Date

09/18/2021

Expiration Date

09/30/2024

State

PA

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

N

LastModifiedDate

02/04/2025