MICHAEL LEE PRIMACK DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****39

License Status

ACTIVE

Business

Title

DDS

First Name

MICHAEL

Middle

LEE

Last Name

PRIMACK

Business Name

MICHAEL LEE PRIMACK DDS

Original Issue Date

10/24/1990

Effective Date

05/01/2024

Expiration Date

09/30/2027

City

LAKE FOREST

State

Zip

60045

County

LAKE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/01/2024