ADAM JOSEPH UNTERBRUNNER DDS Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****28

License Status

INACTIVE

Business

First Name

ADAM

Middle

JOSEPH

Last Name

UNTERBRUNNER

Suffix

DDS

Business Name

ADAM JOSEPH UNTERBRUNNER DDS

Original Issue Date

03/23/2015

Effective Date

06/13/2018

Expiration Date

12/31/2021

City

CHICAGO

State

Zip

60630

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/22/2021