MICHAEL LORNE FLEWELLING DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****83

License Status

NOT RENEWED

Business

Title

DDS

First Name

MICHAEL

Middle

LORNE

Last Name

FLEWELLING

Business Name

MICHAEL LORNE FLEWELLING DDS

Original Issue Date

08/06/2012

Effective Date

08/06/2012

Expiration Date

09/30/2015

City

CHICAGO

State

Zip

60659

County

COOK

Controlled Substance Schedule

III

Ever Disciplined

LastModifiedDate

02/08/2016