MICHAEL E CORUM Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****42

License Status

NOT RENEWED

Business

First Name

MICHAEL

Middle

Last Name

CORUM

Business Name

MICHAEL E CORUM

Original Issue Date

08/28/2023

Effective Date

08/28/2023

Expiration Date

09/30/2024

City

COLUMBUS

State

Zip

43219

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/04/2025