MICHAEL SCOTT DYME DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018001910

License Status

NOT RENEWED

Business

Title

DDS

First Name

MICHAEL

Middle

SCOTT

Last Name

DYME

Business Name

MICHAEL SCOTT DYME DDS

Original Issue Date

06/26/2014

Effective Date

06/26/2014

Expiration Date

06/30/2015

City

MAYWOOD

State

Zip

60153

County

COOK

Specialty/Qualifier

General Practice Residency

Ever Disciplined

LastModifiedDate

01/07/2016