MICHEL M MIKHEIL Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****54

License Status

NOT RENEWED

Business

First Name

MICHEL

Middle

Last Name

MIKHEIL

Business Name

MICHEL M MIKHEIL

Original Issue Date

11/06/2019

Effective Date

11/06/2019

Expiration Date

01/31/2022

City

CARLINVILLE

State

Zip

62626

County

MACOUPIN

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/09/2022