LAWRENCE T MICHET

Business Entity
NOT RENEWED

Dentist

LICENSED DENTIST CONTROLLED SUBSTANCE

31*****48

NOT RENEWED

N

LAWRENCE T

MICHET

LAWRENCE T MICHET

02/24/1994

07/24/2006

09/30/2009

EVERGREEN PARK

IL

60805

COOK

II III IV V

N

11/04/2009