MARK D MACEK DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018000361

License Status

NOT RENEWED

Business

First Name

MARK D

Last Name

MACEK

Suffix

DDS

Business Name

MARK D MACEK DDS

Original Issue Date

06/20/1989

Effective Date

06/20/1989

Expiration Date

06/30/1991

City

BERWYN

State

Zip

60402

County

COOK

Ever Disciplined

LastModifiedDate

10/12/2005