MICHELLE M PAVLAK-HAWKINS DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****74

License Status

NOT RENEWED

Business

First Name

MICHELLE

Middle

Last Name

PAVLAK-HAWKINS

Suffix

DMD

Business Name

MICHELLE M PAVLAK-HAWKINS DMD

Original Issue Date

09/01/2005

Effective Date

07/24/2006

Expiration Date

09/30/2009

City

O FALLON

State

Zip

62269

County

SAINT CLAIR

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/04/2009