CHARLES T MELLYN DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019015890

License Status

NOT RENEWED

Business

First Name

CHARLES T

Last Name

MELLYN

Suffix

DDS

Business Name

CHARLES T MELLYN DDS

Original Issue Date

06/09/1977

Effective Date

06/09/1977

Expiration Date

09/30/1998

City

CHICAGO

State

Zip

60639

County

COOK

Ever Disciplined

LastModifiedDate

10/12/2005