LORI LANG WOODBURN DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****87

License Status

NOT RENEWED

Business

First Name

LORI

Middle

LANG

Last Name

WOODBURN

Suffix

DDS

Business Name

LORI LANG WOODBURN DDS

Original Issue Date

03/27/2009

Effective Date

08/07/2012

Expiration Date

09/30/2015

City

ORLAND PARK

State

Zip

60462

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/08/2016