N DOUGLAS GULBRANDSEN DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019014860

License Status

NOT RENEWED

Business

First Name

N DOUGLAS

Last Name

GULBRANDSEN

Suffix

DDS

Business Name

N DOUGLAS GULBRANDSEN DDS

Original Issue Date

07/17/1974

Effective Date

07/17/1974

City

CHICAGO

State

Zip

60004

County

COOK

Ever Disciplined

LastModifiedDate

10/12/2005