MICHELLE M MATHESON Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****92

License Status

NOT RENEWED

Business

First Name

MICHELLE M

Last Name

MATHESON

Business Name

MICHELLE M MATHESON

Original Issue Date

10/04/1983

Effective Date

10/04/1983

Expiration Date

09/30/1986

City

CHICAGO

State

Zip

60612

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/13/2005