MICHELLE NAOMI ZMICK DDS Dentist License verification

Business Entity

CANCELLED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****50

License Status

CANCELLED

Business

First Name

MICHELLE NAOMI

Last Name

ZMICK

Suffix

DDS

Business Name

MICHELLE NAOMI ZMICK DDS

Original Issue Date

05/16/1988

Effective Date

05/16/1988

Expiration Date

09/30/1992

City

CHICAGO

State

Zip

60635

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/13/2005