MICHELLE LYNNE PIPER DDS - Dentist License in Illinois | # 018000987

MICHELLE LYNNE PIPER DDS

Business Entity

NOT RENEWED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018000987

License Status

NOT RENEWED

Business

N

First Name

MICHELLE LYNNE

Last Name

PIPER

Suffix

DDS

Business Name

MICHELLE LYNNE PIPER DDS

Original Issue Date

09/23/1996

Effective Date

09/23/1996

Expiration Date

06/30/1997

State

IL

Specialty/Qualifier

General Practice Residency

Ever Disciplined

N

LastModifiedDate

10/12/2005