KEITH MELLOVITZ DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019017241

License Status

ACTIVE

Business

First Name

KEITH

Last Name

MELLOVITZ

Suffix

DDS

Business Name

KEITH MELLOVITZ DDS

Original Issue Date

07/10/1980

Effective Date

05/10/2024

Expiration Date

09/30/2027

City

HIGHLAND PARK

State

Zip

60035

County

LAKE

Ever Disciplined

LastModifiedDate

05/10/2024