TRACY S M LYNCH DMD Dentist License verification

Business Entity

CANCELLED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****12

License Status

CANCELLED

Business

First Name

TRACY

Middle

S M

Last Name

LYNCH

Suffix

DMD

Business Name

TRACY S M LYNCH DMD

Original Issue Date

02/24/2000

Effective Date

02/24/2000

Expiration Date

09/30/2002

City

NAPERVILLE

State

Zip

60564

County

DUPAGE

Controlled Substance Schedule

III IV

Ever Disciplined

LastModifiedDate

10/17/2005