DENNIS JOSEPH MIKUTIS DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****85

License Status

NOT RENEWED

Business

First Name

DENNIS JOSEPH

Last Name

MIKUTIS

Suffix

DDS

Business Name

DENNIS JOSEPH MIKUTIS DDS

Original Issue Date

01/01/1998

Effective Date

08/18/2009

Expiration Date

09/30/2012

City

SYCAMORE

State

Zip

60178

County

DEKALB

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/14/2012