DENISE E MICHAUD KHARSA Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****81

License Status

NOT RENEWED

Business

First Name

DENISE E MICHAUD

Last Name

KHARSA

Business Name

DENISE E MICHAUD KHARSA

Original Issue Date

05/30/1984

Effective Date

05/30/1984

Expiration Date

09/30/1984

City

WILLOWBROOK

State

Zip

60525

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/13/2005