ANTHONY N MICELI DDS - Dentist License in Illinois | # 018000646

ANTHONY N MICELI DDS

Business Entity

NOT RENEWED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018000646

License Status

NOT RENEWED

Business

N

First Name

ANTHONY N

Last Name

MICELI

Suffix

DDS

Business Name

ANTHONY N MICELI DDS

Original Issue Date

07/16/1992

Effective Date

07/16/1992

Expiration Date

06/30/1993

State

IL

Specialty/Qualifier

Advanced General Dentistry

Ever Disciplined

N

LastModifiedDate

10/12/2005