LINDSEY LONNEMAN WILLOUGHBY DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****84

License Status

NOT RENEWED

Business

Title

DMD

First Name

LINDSEY

Middle

LONNEMAN

Last Name

WILLOUGHBY

Business Name

LINDSEY LONNEMAN WILLOUGHBY DMD

Original Issue Date

04/20/2015

Effective Date

08/07/2015

Expiration Date

09/30/2018

City

CHICAGO

State

Zip

60605

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/31/2018