MICHAEL W LINDENBERG DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

DENTAL SEDATION PERMIT

License Number

137000635

License Status

NOT RENEWED

Business

First Name

MICHAEL W

Last Name

LINDENBERG

Suffix

DDS

Business Name

MICHAEL W LINDENBERG DDS

Original Issue Date

10/21/2004

Effective Date

07/24/2006

Expiration Date

09/30/2009

City

CENTRALIA

State

Zip

62801

County

MARION

Specialty/Qualifier

Conscious Sedation, Parenteral

Ever Disciplined

LastModifiedDate

11/04/2009