JAMES R MACHOLL DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****75

License Status

NOT RENEWED

Business

First Name

JAMES R

Last Name

MACHOLL

Suffix

DDS

Business Name

JAMES R MACHOLL DDS

Original Issue Date

01/14/2004

Effective Date

08/25/2009

Expiration Date

09/30/2012

City

LIBERTYVILLE

State

Zip

60048

County

LAKE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/14/2012