MICHAEL JOHN BICKNELL DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****94

License Status

NOT RENEWED

Business

First Name

MICHAEL

Middle

JOHN

Last Name

BICKNELL

Suffix

DDS

Business Name

MICHAEL JOHN BICKNELL DDS

Original Issue Date

07/16/1999

Effective Date

07/16/1999

Expiration Date

09/30/2002

City

CHICAGO

State

Zip

60612

County

COOK

Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

10/17/2005