LAUREN EMILY KOCH MACDONALD DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****84

License Status

ACTIVE

Business

Title

DDS

First Name

LAUREN

Middle

EMILY

Last Name

KOCH MACDONALD

Business Name

LAUREN EMILY KOCH MACDONALD DDS

Original Issue Date

07/16/2014

Effective Date

05/13/2024

Expiration Date

09/30/2027

City

CHICAGO

State

Zip

60647

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV

Ever Disciplined

LastModifiedDate

05/13/2024