MARK I LUNDELL 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

MARK I

Last Name

LUNDELL

Business Name

MARK I LUNDELL

Original Issue Date

12/04/1996

Effective Date

12/04/1996

Expiration Date

09/30/1998

City

CHICAGO

State

Zip

60666

County

COOK

Controlled Substance Schedule

III

Ever Disciplined

LastModifiedDate

10/13/2005