MICHAEL JOHN MABBORANG DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****66

License Status

ACTIVE

Business

First Name

MICHAEL

Middle

JOHN

Last Name

MABBORANG

Suffix

DDS

Business Name

MICHAEL JOHN MABBORANG DDS

Original Issue Date

07/13/2007

Effective Date

09/29/2024

Expiration Date

09/30/2027

City

CHICAGO

State

Zip

60638

County

COOK

Specialty/Qualifier

HOSPITAL/CLINIC

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/29/2024