MICHAEL JON ZICHTERMAN DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****05

License Status

NOT RENEWED

Business

First Name

MICHAEL JON

Last Name

ZICHTERMAN

Suffix

DDS

Business Name

MICHAEL JON ZICHTERMAN DDS

Original Issue Date

01/01/1998

Effective Date

12/30/2021

Expiration Date

09/30/2024

City

PEORIA

State

Zip

61614

County

PEORIA

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/04/2025