FLOYD MIX DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019011442

License Status

NOT RENEWED

Business

First Name

FLOYD

Last Name

MIX

Suffix

DDS

Business Name

FLOYD MIX DDS

Original Issue Date

01/23/1959

Effective Date

09/10/2012

Expiration Date

09/30/2015

City

MATTESON

State

Zip

60443

County

COOK

Ever Disciplined

LastModifiedDate

02/08/2016