MICHELE LAUX PAVLISIN Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****39

License Status

NOT RENEWED

Business

First Name

MICHELE LAUX

Last Name

PAVLISIN

Business Name

MICHELE LAUX PAVLISIN

Original Issue Date

08/31/1984

Effective Date

06/04/2009

Expiration Date

09/30/2012

City

ST CHARLES

State

Zip

60175

County

KANE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/14/2012