MICHELLE BECKERLY DMD Dentist License verification

Business Entity

EXPIRED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018001755

License Status

EXPIRED

Business

First Name

MICHELLE

Last Name

BECKERLY

Suffix

DMD

Business Name

MICHELLE BECKERLY DMD

Original Issue Date

07/29/2009

Effective Date

07/01/2009

Expiration Date

06/30/2010

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

General Practice Residency

Ever Disciplined

LastModifiedDate

07/08/2010