MICHELE D STARK DMD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****67

License Status

ACTIVE

Business

First Name

MICHELE

Middle

Last Name

STARK

Suffix

DMD

Business Name

MICHELE D STARK DMD

Original Issue Date

09/22/1987

Effective Date

09/05/2024

Expiration Date

09/30/2027

City

WORDEN

State

Zip

62097

County

MADISON

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/05/2024