DOUGLAS C SHINDOLLAR

Business Entity
NOT RENEWED

Dentist

LICENSED DENTIST CONTROLLED SUBSTANCE

31*****03

NOT RENEWED

N

DOUGLAS C

SHINDOLLAR

DOUGLAS C SHINDOLLAR

01/13/1986

01/13/1986

09/30/1988

CHICAGO

IL

60616

COOK

II III IV V

N

10/13/2005