DAVID LEE HATTENDORF DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****32

License Status

NOT RENEWED

Business

First Name

DAVID LEE

Last Name

HATTENDORF

Suffix

DDS

Business Name

DAVID LEE HATTENDORF DDS

Original Issue Date

01/01/1998

Expiration Date

09/30/2000

City

TINLEY PARK

State

Zip

60477

County

COOK

Controlled Substance Schedule

III

Ever Disciplined

LastModifiedDate

10/17/2005