MICHAEL ANDREW CHRISTIAN DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****14

License Status

NOT RENEWED

Business

Title

DMD

First Name

MICHAEL

Middle

ANDREW

Last Name

CHRISTIAN

Business Name

MICHAEL ANDREW CHRISTIAN DMD

Original Issue Date

07/20/2011

Effective Date

08/24/2012

Expiration Date

09/30/2015

City

CHICAGO

State

Zip

60661

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/08/2016