DAVID S LICHTENWALTER Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****60

License Status

ACTIVE

Business

First Name

DAVID

Middle

Last Name

LICHTENWALTER

Business Name

DAVID S LICHTENWALTER

Original Issue Date

07/02/2002

Effective Date

09/18/2024

Expiration Date

09/30/2027

City

GLEN ELLYN

State

Zip

60137

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/18/2024