MICHAEL THOMAS REILLY Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****45

License Status

NOT RENEWED

Business

First Name

MICHAEL THOMAS

Last Name

REILLY

Business Name

MICHAEL THOMAS REILLY

Original Issue Date

10/20/1987

Effective Date

10/02/2009

Expiration Date

09/30/2012

City

CARY

State

Zip

60013

County

MCHENRY

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/14/2012