BRIAN JOHN LOFSTROM DDS Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019015364

License Status

INACTIVE

Business

First Name

BRIAN JOHN

Last Name

LOFSTROM

Suffix

DDS

Business Name

BRIAN JOHN LOFSTROM DDS

Original Issue Date

10/07/1975

Effective Date

09/11/2012

Expiration Date

09/30/2015

City

LINCOLNSHIRE

State

Zip

60069

County

LAKE

Ever Disciplined

LastModifiedDate

06/08/2015