MYCHEL M VAIL Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****96

License Status

NOT RENEWED

Business

First Name

MYCHEL M

Last Name

VAIL

Business Name

MYCHEL M VAIL

Original Issue Date

11/21/1997

Effective Date

11/21/1997

Expiration Date

09/30/1998

City

SKOKIE

State

Zip

60077

County

COOK

Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

10/13/2005