LANCE WILLIAM KRUSE DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019013745

License Status

NOT RENEWED

Business

First Name

LANCE WILLIAM

Last Name

KRUSE

Suffix

DDS

Business Name

LANCE WILLIAM KRUSE DDS

Original Issue Date

12/08/1969

Effective Date

09/18/2009

Expiration Date

09/30/2012

City

WINNETKA

State

Zip

60093

County

COOK

Ever Disciplined

LastModifiedDate

11/14/2012