LORI LANG WOODBURN DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****88

License Status

NOT RENEWED

Business

First Name

LORI

Middle

LANG

Last Name

WOODBURN

Suffix

DDS

Business Name

LORI LANG WOODBURN DDS

Original Issue Date

09/02/2005

Effective Date

07/24/2006

Expiration Date

09/30/2009

City

FRANKFORT

State

Zip

60423

County

WILL

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/04/2009