JOHN LUNDBERG MIXER DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019016258

License Status

NOT RENEWED

Business

First Name

JOHN LUNDBERG

Last Name

MIXER

Suffix

DDS

Business Name

JOHN LUNDBERG MIXER DDS

Original Issue Date

04/14/1978

Effective Date

04/14/1978

City

CHICAGO

State

Zip

60616

County

COOK

Ever Disciplined

LastModifiedDate

10/12/2005