PHILLIP C MACH Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****58

License Status

NOT RENEWED

Business

First Name

PHILLIP C

Last Name

MACH

Business Name

PHILLIP C MACH

Original Issue Date

09/23/1983

Effective Date

09/23/1983

Expiration Date

09/30/1990

City

WEST CHICAGO

State

Zip

60185

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/13/2005