MICHAEL ROBERT MITSOS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****52

License Status

ACTIVE

Business

First Name

MICHAEL ROBERT

Last Name

MITSOS

Business Name

MICHAEL ROBERT MITSOS

Original Issue Date

10/11/1983

Effective Date

05/01/2024

Expiration Date

09/30/2027

City

MUNSTER

State

Zip

46321

County

INDIANA

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/01/2024