MICHAEL LOUIS HAYNIE - Dentist License in Illinois | # 018000955

MICHAEL LOUIS HAYNIE

Business Entity

NOT RENEWED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018000955

License Status

NOT RENEWED

Business

N

First Name

MICHAEL LOUIS

Last Name

HAYNIE

Business Name

MICHAEL LOUIS HAYNIE

Original Issue Date

07/19/1996

Effective Date

07/19/1996

Expiration Date

06/30/1997

State

IL

Specialty/Qualifier

General Practice Residency

Ever Disciplined

N

LastModifiedDate

10/12/2005