MICHAEL E EVANS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****18

License Status

NOT RENEWED

Business

First Name

MICHAEL E

Last Name

EVANS

Business Name

MICHAEL E EVANS

Original Issue Date

12/12/1986

Effective Date

07/31/2018

Expiration Date

01/31/2022

City

DEKALB

State

Zip

60115

County

DEKALB

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/09/2022