MICHAEL A MENIS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****42

License Status

NOT RENEWED

Business

First Name

MICHAEL A

Last Name

MENIS

Business Name

MICHAEL A MENIS

Original Issue Date

08/28/1995

Effective Date

08/28/1995

Expiration Date

09/30/1996

City

SKOKIE

State

Zip

60077

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/13/2005