MICHAEL M ORTH DDS

Business Entity
NOT RENEWED

Dentist

LICENSED DENTIST CONTROLLED SUBSTANCE

31*****61

NOT RENEWED

N

MICHAEL M

ORTH

DDS

MICHAEL M ORTH DDS

01/01/1998

09/30/1990

PALOS PARK

IL

60464

COOK

II III IV V

N

10/13/2005