MICHELE A BIBEAU Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****80

License Status

NOT RENEWED

Business

First Name

MICHELE A

Last Name

BIBEAU

Business Name

MICHELE A BIBEAU

Original Issue Date

12/08/1988

Effective Date

12/08/1988

Expiration Date

09/30/1990

City

CHICAGO

State

Zip

60623

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/13/2005