MICHAEL ALAN CONRAD DDS 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 ALAN

Last Name

CONRAD

Suffix

DDS

Business Name

MICHAEL ALAN CONRAD DDS

Original Issue Date

09/04/1981

Effective Date

09/04/1981

Expiration Date

09/30/1984

City

WAUKEGAN

State

Zip

60085

County

LAKE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/13/2005