MICHAEL JAMES WHITTED DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****86

License Status

ACTIVE

Business

First Name

MICHAEL

Middle

JAMES

Last Name

WHITTED

Suffix

DDS

Business Name

MICHAEL JAMES WHITTED DDS

Original Issue Date

07/30/2003

Effective Date

05/01/2024

Expiration Date

09/30/2027

City

SOUTH ELGIN

State

Zip

60177

County

KANE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/01/2024