MARK E RUNGE DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****70

License Status

NOT RENEWED

Business

First Name

MARK

Middle

Last Name

RUNGE

Suffix

DDS

Business Name

MARK E RUNGE DDS

Original Issue Date

05/21/1985

Effective Date

05/21/1985

Expiration Date

09/30/1988

City

CHICAGO

State

Zip

60613

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/13/2005