MICHAEL LOUIS HAYNIE Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018000955

License Status

NOT RENEWED

Business

First Name

MICHAEL LOUIS

Last Name

HAYNIE

Business Name

MICHAEL LOUIS HAYNIE

Original Issue Date

07/19/1996

Effective Date

07/19/1996

Expiration Date

06/30/1997

City

CHICAGO

State

Zip

60657

County

COOK

Specialty/Qualifier

General Practice Residency

Ever Disciplined

LastModifiedDate

10/12/2005