MICHAEL LEE HAWK DMD Dentist License verification

MICHAEL LEE HAWK DMD

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019016566

License Status

NOT RENEWED

Business

First Name

MICHAEL LEE

Last Name

HAWK

Suffix

DMD

Business Name

MICHAEL LEE HAWK DMD

Original Issue Date

09/29/1978

Effective Date

09/23/2015

Expiration Date

09/30/2018

City

ROCHESTER

State

Zip

62563

County

SANGAMON

Ever Disciplined

LastModifiedDate

10/31/2018

Case Number

2016003618

Action

Suspension

Discipline Start Date

08/12/2016

Discipline End Date

08/26/2016

Discipline Reason

after he failed to complete 48 hours of continuing education required for the 2012-2015 pre-renewal period, and he falsely indicated on his 2015 renewal application that he had in fact completed said education.