MICHELLE EILEEN KNEBELSBERGER DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****78

License Status

NOT RENEWED

Business

Title

DMD

First Name

MICHELLE

Middle

EILEEN

Last Name

KNEBELSBERGER

Business Name

MICHELLE EILEEN KNEBELSBERGER DMD

Original Issue Date

09/26/2017

Effective Date

09/26/2017

Expiration Date

09/30/2018

City

BARRINGTON

State

Zip

60010

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/31/2018