MICHAEL T VALENTINE DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****87

License Status

NOT RENEWED

Business

First Name

MICHAEL T

Last Name

VALENTINE

Suffix

DDS

Business Name

MICHAEL T VALENTINE DDS

Original Issue Date

03/11/1998

Effective Date

03/11/1998

Expiration Date

09/30/1998

City

CHICAGO

State

Zip

60616

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/13/2005