LAUREN NICOLE LEVIN Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****67

License Status

NOT RENEWED

Business

First Name

LAUREN

Middle

NICOLE

Last Name

LEVIN

Business Name

LAUREN NICOLE LEVIN

Original Issue Date

02/17/2009

Effective Date

02/17/2009

Expiration Date

09/30/2009

City

SHILOH

State

Zip

62269

County

SAINT CLAIR

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/04/2009