ANTHONY N MICELI DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****99

License Status

NOT RENEWED

Business

First Name

ANTHONY N

Last Name

MICELI

Suffix

DDS

Business Name

ANTHONY N MICELI DDS

Original Issue Date

11/03/1995

Effective Date

06/04/2009

Expiration Date

09/30/2012

City

OLYMPIA FIELDS

State

Zip

60461

County

COOK

Controlled Substance Schedule

II IV V

Ever Disciplined

LastModifiedDate

11/14/2012