JOHN A LUND DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****64

License Status

NOT RENEWED

Business

First Name

JOHN A

Last Name

LUND

Suffix

DDS

Business Name

JOHN A LUND DDS

Original Issue Date

01/01/1998

Effective Date

11/08/2006

Expiration Date

09/30/2009

City

ROCKFORD

State

Zip

61107

County

WINNEBAGO

Controlled Substance Schedule

III IV

Ever Disciplined

LastModifiedDate

11/04/2009