FLORIS VANMINDEN 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

FLORIS

Last Name

VANMINDEN

Business Name

FLORIS VANMINDEN

Original Issue Date

08/13/1982

Effective Date

08/13/1982

Expiration Date

09/30/1986

City

CHICAGO

State

Zip

60602

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/13/2005