MICHELE KAREN SACKHEIM 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

MICHELE

Middle

KAREN

Last Name

SACKHEIM

Business Name

MICHELE KAREN SACKHEIM

Original Issue Date

02/02/2012

Effective Date

06/13/2018

Expiration Date

01/31/2022

City

CHICAGO

State

Zip

60654

County

WILL

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/09/2022