MARK Z MIGDALSKI Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****06

License Status

NOT RENEWED

Business

First Name

MARK Z

Last Name

MIGDALSKI

Business Name

MARK Z MIGDALSKI

Original Issue Date

08/02/1982

Effective Date

08/02/1982

Expiration Date

09/30/1996

City

CHICAGO

State

Zip

60646

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/13/2005