HARVEY MICHAEL BLOCK Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019019522

License Status

NOT RENEWED

Business

First Name

HARVEY MICHAEL

Last Name

BLOCK

Business Name

HARVEY MICHAEL BLOCK

Original Issue Date

05/16/1985

Effective Date

05/16/1985

Expiration Date

09/30/1986

City

CHICAGO

State

Zip

60657

County

COOK

Ever Disciplined

LastModifiedDate

10/12/2005