DAVIN EDWARD MELLUS DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

DENTAL SEDATION PERMIT

License Number

137000881

License Status

NOT RENEWED

Business

Title

DMD

First Name

DAVIN

Middle

EDWARD

Last Name

MELLUS

Business Name

DAVIN EDWARD MELLUS DMD

Original Issue Date

10/16/2013

Effective Date

10/16/2013

Expiration Date

09/30/2015

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

DEEP SEDATION AND GENERAL ANESTHESIA

Ever Disciplined

LastModifiedDate

02/08/2016