MICHAEL T KASE Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****15

License Status

NOT RENEWED

Business

First Name

MICHAEL

Middle

Last Name

KASE

Business Name

MICHAEL T KASE

Original Issue Date

06/04/2013

Effective Date

09/18/2015

Expiration Date

09/30/2018

City

PARK RIDGE

State

Zip

60068

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

10/31/2018