EDWARD LAWRENCE MICHALEC DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****28

License Status

NOT RENEWED

Business

First Name

EDWARD LAWRENCE

Last Name

MICHALEC

Suffix

DDS

Business Name

EDWARD LAWRENCE MICHALEC DDS

Original Issue Date

01/01/1998

Expiration Date

09/30/2000

City

CANTON

State

Zip

61520

County

FULTON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/17/2005