MICHELE LYNN WHITE DDS - Dentist License in Illinois | # 018001018

MICHELE LYNN WHITE DDS

Business Entity

NOT RENEWED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018001018

License Status

NOT RENEWED

Business

N

First Name

MICHELE

Middle

LYNN

Last Name

WHITE

Suffix

DDS

Business Name

MICHELE LYNN WHITE DDS

Original Issue Date

06/17/1997

Effective Date

06/17/1997

Expiration Date

06/30/1999

State

IL

Specialty/Qualifier

General Practice Residency

Ever Disciplined

N

LastModifiedDate

10/12/2005