MICHAEL J BREAKER DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****88

License Status

NOT RENEWED

Business

First Name

MICHAEL J

Last Name

BREAKER

Suffix

DDS

Business Name

MICHAEL J BREAKER DDS

Original Issue Date

03/20/1990

Effective Date

09/08/2009

Expiration Date

09/30/2012

City

ST CHARLES

State

Zip

60175

County

KANE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/14/2012