MICHAEL MIROSLAV GALIC DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****41

License Status

NOT RENEWED

Business

First Name

MICHAEL

Middle

MIROSLAV

Last Name

GALIC

Suffix

DDS

Business Name

MICHAEL MIROSLAV GALIC DDS

Original Issue Date

12/24/1997

Effective Date

08/19/2009

Expiration Date

09/30/2012

City

OAK PARK

State

Zip

60302

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/14/2012