MARY MELINDA EICHLER TYREE Dentist License verification

Business Entity

CANCELLED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****45

License Status

CANCELLED

Business

First Name

MARY

Middle

MELINDA

Last Name

EICHLER TYREE

Business Name

MARY MELINDA EICHLER TYREE

Original Issue Date

11/23/1982

Effective Date

11/23/1982

Expiration Date

09/30/2002

City

CHICAGO

State

Zip

60610

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005