KURT DAVID MITCHLER Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****25

License Status

NOT RENEWED

Business

First Name

KURT DAVID

Last Name

MITCHLER

Business Name

KURT DAVID MITCHLER

Original Issue Date

11/16/1983

Effective Date

11/16/1983

Expiration Date

09/30/1984

City

OSWEGO

State

Zip

60543

County

KENDALL

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/13/2005