ERIN EDEN GUNDERSON Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****24

License Status

NOT RENEWED

Business

First Name

ERIN

Middle

EDEN

Last Name

GUNDERSON

Business Name

ERIN EDEN GUNDERSON

Original Issue Date

06/05/2017

Effective Date

09/18/2021

Expiration Date

09/30/2024

City

FREEPORT

State

Zip

16229

County

MADISON

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/04/2025