KARIN EMILIE STOCKMANN MORTENSEN DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****02

License Status

NOT RENEWED

Business

First Name

KARIN

Middle

EMILIE

Last Name

STOCKMANN MORTENSEN

Suffix

DDS

Business Name

KARIN EMILIE STOCKMANN MORTENSEN DDS

Original Issue Date

07/26/1999

Effective Date

07/24/2006

Expiration Date

09/30/2009

City

ELGIN

State

Zip

60123

County

KANE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/04/2009