EVELYN LOUISE STAUDER Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****06

License Status

NOT RENEWED

Business

First Name

EVELYN LOUISE

Last Name

STAUDER

Business Name

EVELYN LOUISE STAUDER

Original Issue Date

01/01/1998

Expiration Date

09/30/2004

City

ARLINGTON HEIGHTS

State

Zip

60004

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/17/2005