MICHELLE LYNNE PIPER DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018000987

License Status

NOT RENEWED

Business

First Name

MICHELLE LYNNE

Last Name

PIPER

Suffix

DDS

Business Name

MICHELLE LYNNE PIPER DDS

Original Issue Date

09/23/1996

Effective Date

09/23/1996

Expiration Date

06/30/1997

City

NORTH CHICAGO

State

Zip

60064

County

LAKE

Specialty/Qualifier

General Practice Residency

Ever Disciplined

LastModifiedDate

10/12/2005