HARRY JAY MELNICK DDS Dentist License verification

Business Entity

CANCELLED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****18

License Status

CANCELLED

Business

First Name

HARRY JAY

Last Name

MELNICK

Suffix

DDS

Business Name

HARRY JAY MELNICK DDS

Original Issue Date

08/07/2002

Effective Date

08/07/2002

Expiration Date

09/30/2006

City

MORTON GROVE

State

Zip

60053

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/24/2006