MICHELLE L VAN DYKE DDS - Dentist License in Illinois | # 019026115

MICHELLE L VAN DYKE DDS

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019026115

License Status

NOT RENEWED

Business

N

First Name

MICHELLE

Middle

L

Last Name

VAN DYKE

Suffix

DDS

Business Name

MICHELLE L VAN DYKE DDS

Original Issue Date

06/05/2003

Effective Date

09/30/2004

Expiration Date

09/30/2006

State

IL

Ever Disciplined

N

LastModifiedDate

02/08/2007