LUKA BUNDALO DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****48

License Status

NOT RENEWED

Business

First Name

LUKA

Last Name

BUNDALO

Suffix

DDS

Business Name

LUKA BUNDALO DDS

Original Issue Date

05/02/1995

Effective Date

05/02/1995

Expiration Date

09/30/2002

City

CHICAGO HEIGHTS

State

Zip

60411

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/17/2005