LEO LEONARD LUNDBERG DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019011535

License Status

NOT RENEWED

Business

First Name

LEO LEONARD

Last Name

LUNDBERG

Suffix

DDS

Business Name

LEO LEONARD LUNDBERG DDS

Original Issue Date

08/05/1959

Effective Date

08/05/1959

Expiration Date

09/30/2006

City

COAL VALLEY

State

Zip

61240

County

ROCK ISLAND

Ever Disciplined

LastModifiedDate

10/12/2005