MITCHELL B MYERS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****28

License Status

ACTIVE

Business

First Name

MITCHELL B

Last Name

MYERS

Business Name

MITCHELL B MYERS

Original Issue Date

06/08/1983

Effective Date

09/19/2024

Expiration Date

09/30/2027

City

OTTAWA

State

Zip

61350

County

LA SALLE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/19/2024