TARA NOELLE LUEDERS DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****97

License Status

NOT RENEWED

Business

Title

DDS

First Name

TARA

Middle

NOELLE

Last Name

LUEDERS

Business Name

TARA NOELLE LUEDERS DDS

Original Issue Date

07/17/2014

Effective Date

10/01/2015

Expiration Date

09/30/2018

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/31/2018