LANCE WILLIAM KRUSE DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****45

License Status

NOT RENEWED

Business

First Name

LANCE WILLIAM

Last Name

KRUSE

Suffix

DDS

Business Name

LANCE WILLIAM KRUSE DDS

Original Issue Date

01/01/1998

Effective Date

09/18/2009

Expiration Date

09/30/2012

City

WINNETKA

State

Zip

60093

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/14/2012