MICHAEL JOHN BICKNELL DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****82

License Status

NOT RENEWED

Business

First Name

MICHAEL

Middle

JOHN

Last Name

BICKNELL

Suffix

DDS

Business Name

MICHAEL JOHN BICKNELL DDS

Original Issue Date

12/02/2004

Effective Date

09/16/2009

Expiration Date

09/30/2012

City

ELMHURST

State

Zip

60126

County

DUPAGE

Controlled Substance Schedule

II III IV

Ever Disciplined

LastModifiedDate

11/14/2012