INGRID E SHULTS DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****03

License Status

NOT RENEWED

Business

First Name

INGRID E

Last Name

SHULTS

Suffix

DDS

Business Name

INGRID E SHULTS DDS

Original Issue Date

08/18/1982

Effective Date

06/15/2018

Expiration Date

01/31/2022

City

TINLEY PARK

State

Zip

60487

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/09/2022