MICHELLE L VAN DYKE DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019026115

License Status

NOT RENEWED

Business

First Name

MICHELLE

Middle

Last Name

VAN DYKE

Suffix

DDS

Business Name

MICHELLE L VAN DYKE DDS

Original Issue Date

06/05/2003

Effective Date

09/30/2004

Expiration Date

09/30/2006

City

CHICAGO

State

Zip

60613

County

COOK

Ever Disciplined

LastModifiedDate

02/08/2007