MICHAEL JOHN BICKNELL DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****69

License Status

ACTIVE

Business

First Name

MICHAEL

Middle

JOHN

Last Name

BICKNELL

Suffix

DDS

Business Name

MICHAEL JOHN BICKNELL DDS

Original Issue Date

11/15/2004

Effective Date

08/01/2024

Expiration Date

09/30/2027

City

ELMHURST

State

Zip

60126

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

08/01/2024