DANIEL MARK MEYERS Dentist License verification

Business Entity

CANCELLED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****95

License Status

CANCELLED

Business

First Name

DANIEL MARK

Last Name

MEYERS

Business Name

DANIEL MARK MEYERS

Original Issue Date

02/07/1985

Effective Date

02/07/1985

Expiration Date

09/30/2004

City

MCHENRY

State

Zip

60050

County

MCHENRY

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/13/2005