MICHAEL L CAMPSMITH Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****43

License Status

NOT RENEWED

Business

First Name

MICHAEL L

Last Name

CAMPSMITH

Business Name

MICHAEL L CAMPSMITH

Original Issue Date

03/02/1983

Effective Date

03/02/1983

Expiration Date

09/30/1986

City

OAK PARK

State

Zip

60302

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/13/2005