LEWIS MARTIN MULDROW DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****10

License Status

NOT RENEWED

Business

First Name

LEWIS MARTIN

Last Name

MULDROW

Suffix

DDS

Business Name

LEWIS MARTIN MULDROW DDS

Original Issue Date

06/04/1982

Effective Date

06/04/1982

Expiration Date

09/30/2002

City

LAKE FOREST

State

Zip

60045

County

LAKE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/17/2005