MICHELLE L SLEZEWSKI DMD 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

MICHELLE L

Last Name

SLEZEWSKI

Suffix

DMD

Business Name

MICHELLE L SLEZEWSKI DMD

Original Issue Date

06/10/1996

Effective Date

06/10/1996

Expiration Date

09/30/1998

City

CHICAGO

State

Zip

60607

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/17/2005