STUART L CUNNINGHAM Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****95

License Status

NOT RENEWED

Business

First Name

STUART L

Last Name

CUNNINGHAM

Business Name

STUART L CUNNINGHAM

Original Issue Date

01/07/1986

Effective Date

01/07/1986

Expiration Date

09/30/1988

City

LIBERTYVILLE

State

Zip

60048

County

LAKE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/13/2005