MICHAEL A MENIS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****90

License Status

NOT RENEWED

Business

First Name

MICHAEL A

Last Name

MENIS

Business Name

MICHAEL A MENIS

Original Issue Date

09/23/1999

Effective Date

09/23/1999

Expiration Date

09/30/2000

City

GURNEE

State

Zip

60031

County

LAKE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/17/2005