GLENN LEO MITCHELL DDS Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019013178

License Status

INACTIVE

Business

First Name

GLENN LEO

Last Name

MITCHELL

Suffix

DDS

Business Name

GLENN LEO MITCHELL DDS

Original Issue Date

07/20/1967

Effective Date

07/20/1967

Expiration Date

09/30/2002

City

WAUKEGAN

State

Zip

60085

County

LAKE

Ever Disciplined

LastModifiedDate

10/17/2005