LAUREN N CARLSON DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****89

License Status

NOT RENEWED

Business

Title

DMD

First Name

LAUREN

Middle

Last Name

CARLSON

Business Name

LAUREN N CARLSON DMD

Original Issue Date

09/04/2019

Effective Date

09/04/2019

Expiration Date

01/31/2022

City

CHICAGO

State

Zip

60607

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/09/2022