LAURA NOLTE HAHN Dentist License verification

Business Entity

CANCELLED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****42

License Status

CANCELLED

Business

First Name

LAURA

Middle

NOLTE

Last Name

HAHN

Business Name

LAURA NOLTE HAHN

Original Issue Date

08/29/2007

Effective Date

08/29/2007

Expiration Date

09/30/2009

City

COLLINSVILLE

State

Zip

62234

County

MADISON

Specialty/Qualifier

HOSPITAL/CLINIC

Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

06/04/2009