MITCHELL W PELSUE Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****51

License Status

NOT RENEWED

Business

First Name

MITCHELL W

Last Name

PELSUE

Business Name

MITCHELL W PELSUE

Original Issue Date

03/26/1982

Effective Date

03/26/1982

Expiration Date

09/30/1984

City

GREAT LAKES

State

Zip

60088

County

LAKE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/13/2005