MICHAEL SCOTT PAPENDICK Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****23

License Status

NOT RENEWED

Business

First Name

MICHAEL SCOTT

Last Name

PAPENDICK

Business Name

MICHAEL SCOTT PAPENDICK

Original Issue Date

08/22/1983

Effective Date

07/16/2015

Expiration Date

09/30/2018

City

WAUKEGAN

State

Zip

60085

County

LAKE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/31/2018