MICHAEL R MINTZ DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019014116

License Status

NOT RENEWED

Business

First Name

MICHAEL R

Last Name

MINTZ

Suffix

DDS

Business Name

MICHAEL R MINTZ DDS

Original Issue Date

07/08/1971

Effective Date

08/20/2018

Expiration Date

01/31/2022

City

CHICAGO

State

Zip

60614

County

COOK

Ever Disciplined

LastModifiedDate

05/09/2022