MICHAEL A MENIS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****36

License Status

NOT RENEWED

Business

First Name

MICHAEL A

Last Name

MENIS

Business Name

MICHAEL A MENIS

Original Issue Date

08/29/1994

Effective Date

08/29/1994

Expiration Date

09/30/1998

City

CICERO

State

Zip

60650

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/13/2005