MICHELLE PEIFLEY SERIO DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018000785

License Status

NOT RENEWED

Business

First Name

MICHELLE

Middle

PEIFLEY

Last Name

SERIO

Suffix

DDS

Business Name

MICHELLE PEIFLEY SERIO DDS

Original Issue Date

07/06/1994

Effective Date

07/06/1994

Expiration Date

06/30/1995

City

EVANSTON

State

Zip

60201

County

COOK

Specialty/Qualifier

General Practice Residency

Ever Disciplined

LastModifiedDate

10/12/2005