MARY ELIZABETH MIKELSON Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****76

License Status

ACTIVE

Business

First Name

MARY ELIZABETH

Last Name

MIKELSON

Business Name

MARY ELIZABETH MIKELSON

Original Issue Date

08/19/1985

Effective Date

06/30/2024

Expiration Date

09/30/2027

City

CHICAGO

State

Zip

60655

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/30/2024