MELBOURNE DAVID LINDSTROM Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020004937

License Status

NOT RENEWED

Business

First Name

MELBOURNE DAVID

Last Name

LINDSTROM

Business Name

MELBOURNE DAVID LINDSTROM

Original Issue Date

07/22/1982

Effective Date

07/22/1982

Expiration Date

09/30/1990

City

KANKAKEE

State

Zip

60901

County

KANKAKEE

Ever Disciplined

LastModifiedDate

10/12/2005