FLOYD MIX DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****30

License Status

NOT RENEWED

Business

First Name

FLOYD

Last Name

MIX

Suffix

DDS

Business Name

FLOYD MIX DDS

Original Issue Date

09/21/1998

Effective Date

09/10/2012

Expiration Date

09/30/2015

City

MATTESON

State

Zip

60443

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/08/2016