HARVEY MICHAEL BLOCK Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****17

License Status

NOT RENEWED

Business

First Name

HARVEY MICHAEL

Last Name

BLOCK

Business Name

HARVEY MICHAEL BLOCK

Original Issue Date

01/13/1986

Effective Date

01/13/1986

Expiration Date

09/30/1986

City

CHICAGO

State

Zip

60618

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/13/2005