JOHN CHARLES LUNDGREN DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****31

License Status

ACTIVE

Business

Title

DDS

First Name

JOHN

Middle

CHARLES

Last Name

LUNDGREN

Business Name

JOHN CHARLES LUNDGREN DDS

Original Issue Date

12/03/2021

Effective Date

05/03/2024

Expiration Date

09/30/2027

City

MILWAUKEE

State

Zip

53211

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/03/2024