MICHAEL T TIERNEY DDS 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 T

Last Name

TIERNEY

Suffix

DDS

Business Name

MICHAEL T TIERNEY DDS

Original Issue Date

01/01/1998

Effective Date

08/03/2012

Expiration Date

09/30/2015

City

AURORA

State

Zip

60506

County

KANE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/08/2016