MELISSA MARIE CONNELL Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****78

License Status

NOT RENEWED

Business

First Name

MELISSA

Middle

MARIE

Last Name

CONNELL

Business Name

MELISSA MARIE CONNELL

Original Issue Date

03/04/2002

Effective Date

03/04/2002

Expiration Date

09/30/2002

City

CHICAGO

State

Zip

60618

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/17/2005