DOUGLAS A TELLINGHUISEN DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****09

License Status

NOT RENEWED

Business

First Name

DOUGLAS

Middle

Last Name

TELLINGHUISEN

Suffix

DDS

Business Name

DOUGLAS A TELLINGHUISEN DDS

Original Issue Date

01/01/1998

Expiration Date

09/30/1984

City

LA GRANGE PARK

State

Zip

60526

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/27/2010