MICHELLE EILEEN KNEBELSBERGER DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****69

License Status

NOT RENEWED

Business

Title

DMD

First Name

MICHELLE

Middle

EILEEN

Last Name

KNEBELSBERGER

Business Name

MICHELLE EILEEN KNEBELSBERGER DMD

Original Issue Date

10/16/2020

Effective Date

10/16/2020

Expiration Date

01/31/2022

City

DES PLAINES

State

Zip

60016

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/09/2022