MICHAEL T PINK Dentist License verification

Business Entity

EXPIRED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018001408

License Status

EXPIRED

Business

First Name

MICHAEL

Middle

Last Name

PINK

Business Name

MICHAEL T PINK

Original Issue Date

06/24/2003

Effective Date

06/24/2003

Expiration Date

06/30/2004

City

MAYWOOD

State

Zip

60153

County

COOK

Specialty/Qualifier

General Practice Residency

Ever Disciplined

LastModifiedDate

10/12/2005