MICHAEL LEE HAWK DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****19

License Status

NOT RENEWED

Business

First Name

MICHAEL LEE

Last Name

HAWK

Suffix

DMD

Business Name

MICHAEL LEE HAWK DMD

Original Issue Date

01/01/1998

Effective Date

09/23/2015

Expiration Date

09/30/2018

City

ROCHESTER

State

Zip

62563

County

SANGAMON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/31/2018