MICHAEL J RIBERA DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****11

License Status

NOT RENEWED

Business

First Name

MICHAEL J

Last Name

RIBERA

Suffix

DMD

Business Name

MICHAEL J RIBERA DMD

Original Issue Date

01/02/1991

Effective Date

01/02/1991

Expiration Date

09/30/1992

City

CHICAGO

State

Zip

60611

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/13/2005