OMAR MARCUS ATA DDS - Dentist License in Illinois | # 019017861

OMAR MARCUS ATA DDS

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019017861

License Status

NOT RENEWED

Business

N

First Name

OMAR MARCUS

Last Name

ATA

Suffix

DDS

Business Name

OMAR MARCUS ATA DDS

Original Issue Date

09/17/1981

Effective Date

09/17/1981

Expiration Date

09/30/1984

State

IL

Ever Disciplined

N

LastModifiedDate

10/12/2005