WILLIAM MICHAEL WHITE 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

WILLIAM MICHAEL

Last Name

WHITE

Business Name

WILLIAM MICHAEL WHITE

Original Issue Date

11/29/1990

Effective Date

11/29/1990

Expiration Date

09/30/1992

City

LONG GROVE

State

Zip

60047

County

LAKE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/13/2005