MINDY MELIKA VAN DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****35

License Status

ACTIVE

Business

Title

DDS

First Name

MINDY

Middle

MELIKA

Last Name

VAN

Business Name

MINDY MELIKA VAN DDS

Original Issue Date

04/20/2012

Effective Date

09/22/2024

Expiration Date

09/30/2027

City

CHICAGO

State

Zip

60657

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/22/2024