MICHAEL PAUL TELUK 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

MICHAEL

Middle

PAUL

Last Name

TELUK

Business Name

MICHAEL PAUL TELUK

Original Issue Date

10/04/2002

Effective Date

07/24/2006

Expiration Date

09/30/2009

City

GURNEE

State

Zip

60031

County

LAKE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/04/2009