DONNA RAE MICHALEK Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020011314

License Status

NOT RENEWED

Business

First Name

DONNA

Middle

RAE

Last Name

MICHALEK

Business Name

DONNA RAE MICHALEK

Original Issue Date

06/17/2005

Effective Date

07/11/2012

Expiration Date

09/30/2015

City

DES PLAINES

State

Zip

60018

County

COOK

Ever Disciplined

LastModifiedDate

04/25/2016