MARISSA MARIE SPICA DMD - Dentist License in Illinois | # 021003392

MARISSA MARIE SPICA DMD

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED SPECIALIST IN DENTISTRY

License Number

021003392

License Status

ACTIVE

Business

N

Title

DMD

First Name

MARISSA

Middle

MARIE

Last Name

SPICA

Business Name

MARISSA MARIE SPICA DMD

Original Issue Date

10/24/2024

Effective Date

10/24/2024

Expiration Date

09/30/2027

State

IL

Specialty/Qualifier

ORTHODONTICS AND DENTOFACIAL ORTHOPEDICS

Ever Disciplined

N

LastModifiedDate

02/24/2025