MICHAEL SEAN SLAVIN DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018000868

License Status

NOT RENEWED

Business

First Name

MICHAEL

Middle

SEAN

Last Name

SLAVIN

Suffix

DDS

Business Name

MICHAEL SEAN SLAVIN DDS

Original Issue Date

07/19/1995

Effective Date

07/19/1995

Expiration Date

12/31/1997

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Periodontics

Ever Disciplined

LastModifiedDate

10/12/2005