MICHAEL R MINTZ DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****72

License Status

NOT RENEWED

Business

First Name

MICHAEL R

Last Name

MINTZ

Suffix

DDS

Business Name

MICHAEL R MINTZ DDS

Original Issue Date

01/01/1998

Effective Date

08/03/2009

Expiration Date

09/30/2012

City

CHICAGO

State

Zip

60614

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/14/2012