BARBARA LYNN MOUSEL Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****91

License Status

NOT RENEWED

Business

First Name

BARBARA LYNN

Last Name

MOUSEL

Business Name

BARBARA LYNN MOUSEL

Original Issue Date

08/16/1984

Effective Date

06/18/2015

Expiration Date

09/30/2018

City

CHICAGO

State

Zip

60630

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/31/2018