MITCHELL C BORST 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

MITCHELL C

Last Name

BORST

Business Name

MITCHELL C BORST

Original Issue Date

12/01/1987

Effective Date

12/01/1987

Expiration Date

09/30/1992

City

TINLEY PARK

State

Zip

60477

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/13/2005