MICHAEL SCOTT PAPENDICK Dentist License verification

Business Entity

CANCELLED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****24

License Status

CANCELLED

Business

First Name

MICHAEL SCOTT

Last Name

PAPENDICK

Business Name

MICHAEL SCOTT PAPENDICK

Original Issue Date

12/26/1985

Effective Date

12/26/1985

Expiration Date

09/30/1990

City

WAUKEGAN

State

Zip

60085

County

LAKE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/13/2005