LEO LEONARD LUNDBERG DDS - Dentist License in Illinois | # 019011535

LEO LEONARD LUNDBERG DDS

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019011535

License Status

NOT RENEWED

Business

N

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

State

IL

Ever Disciplined

N

LastModifiedDate

10/12/2005