MICHAEL ROBERT MITSOS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****53

License Status

NOT RENEWED

Business

First Name

MICHAEL ROBERT

Last Name

MITSOS

Business Name

MICHAEL ROBERT MITSOS

Original Issue Date

02/23/1984

Effective Date

02/23/1984

Expiration Date

09/30/1986

City

SAUK VILLAGE

State

Zip

60411

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/13/2005