MARK W LINGEN DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****30

License Status

NOT RENEWED

Business

First Name

MARK W

Last Name

LINGEN

Suffix

DDS

Business Name

MARK W LINGEN DDS

Original Issue Date

10/24/1990

Effective Date

10/24/1990

Expiration Date

09/30/2000

City

OAK PARK

State

Zip

60302

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/17/2005