RANDAL ALAN KNUDSON Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****29

License Status

NOT RENEWED

Business

First Name

RANDAL ALAN

Last Name

KNUDSON

Business Name

RANDAL ALAN KNUDSON

Original Issue Date

05/21/1985

Effective Date

09/19/2018

Expiration Date

01/31/2022

City

HIGHLAND PARK

State

Zip

60035

County

LAKE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/09/2022