ELIZABETH SKAF MICHELIZZI Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****91

License Status

NOT RENEWED

Business

First Name

ELIZABETH

Middle

SKAF

Last Name

MICHELIZZI

Business Name

ELIZABETH SKAF MICHELIZZI

Original Issue Date

08/25/2010

Effective Date

08/25/2010

Expiration Date

09/30/2012

City

BRONX

State

Zip

10463

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/14/2012