ROBIN M JUNGBLUT Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****88

License Status

ACTIVE

Business

First Name

ROBIN M

Last Name

JUNGBLUT

Business Name

ROBIN M JUNGBLUT

Original Issue Date

08/25/1986

Effective Date

06/07/2024

Expiration Date

09/30/2027

City

GLEN ELLYN

State

Zip

60137

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/07/2024