LINDSAY LOU LICHTENBERG DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****77

License Status

NOT RENEWED

Business

Title

DDS

First Name

LINDSAY

Middle

LOU

Last Name

LICHTENBERG

Business Name

LINDSAY LOU LICHTENBERG DDS

Original Issue Date

07/05/2012

Effective Date

07/05/2012

Expiration Date

09/30/2015

City

COLUMBUS

State

Zip

53925

County

WISCONSIN

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/08/2016