JOEL MARTIN LAUDENBACH DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****91

License Status

NOT RENEWED

Business

Title

DMD

First Name

JOEL

Middle

MARTIN

Last Name

LAUDENBACH

Business Name

JOEL MARTIN LAUDENBACH DMD

Original Issue Date

06/14/2007

Effective Date

08/28/2009

Expiration Date

09/30/2012

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/14/2012