LAWRENCE LOUIS MELAIK DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****02

License Status

NOT RENEWED

Business

Title

DDS

First Name

LAWRENCE

Middle

LOUIS

Last Name

MELAIK

Business Name

LAWRENCE LOUIS MELAIK DDS

Original Issue Date

01/01/1998

Expiration Date

09/30/2002

City

PEORIA

State

Zip

61614

County

PEORIA

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/17/2005