MARILYN D HATZ DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018000500

License Status

NOT RENEWED

Business

First Name

MARILYN D

Last Name

HATZ

Suffix

DDS

Business Name

MARILYN D HATZ DDS

Original Issue Date

08/15/1990

Effective Date

08/15/1990

Expiration Date

07/31/1991

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

General Practice Residency

Ever Disciplined

LastModifiedDate

10/12/2005