MARK A SCHAFFER Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018000888

License Status

NOT RENEWED

Business

First Name

MARK

Middle

Last Name

SCHAFFER

Business Name

MARK A SCHAFFER

Original Issue Date

08/26/1995

Effective Date

08/26/1995

Expiration Date

06/30/1996

City

CHICAGO

State

Zip

60640

County

COOK

Specialty/Qualifier

General Practice Residency

Ever Disciplined

LastModifiedDate

10/12/2005