LOIS J LUNDERMAN Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****80

License Status

NOT RENEWED

Business

First Name

LOIS J

Last Name

LUNDERMAN

Business Name

LOIS J LUNDERMAN

Original Issue Date

09/29/1989

Effective Date

09/29/1989

Expiration Date

09/30/1994

City

CHAMPAIGN

State

Zip

61820

County

CHAMPAIGN

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/13/2005