MICHAEL DAVID HAYWARD DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****98

License Status

NOT RENEWED

Business

First Name

MICHAEL

Middle

DAVID

Last Name

HAYWARD

Suffix

DDS

Business Name

MICHAEL DAVID HAYWARD DDS

Original Issue Date

02/01/1990

Effective Date

06/19/2009

Expiration Date

09/30/2012

City

BARRINGTON

State

Zip

60010

County

LAKE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/14/2012