HAROLD A LANGE Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****77

License Status

NOT RENEWED

Business

First Name

HAROLD A

Last Name

LANGE

Business Name

HAROLD A LANGE

Original Issue Date

01/01/1998

Expiration Date

09/30/1996

City

MORTON GROVE

State

Zip

60053

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/13/2005