KATHRYN RICKS MARKS DMD Dentist License verification

Business Entity

EXPIRED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018001792

License Status

EXPIRED

Business

Title

DMD

First Name

KATHRYN

Middle

RICKS

Last Name

MARKS

Business Name

KATHRYN RICKS MARKS DMD

Original Issue Date

03/15/2011

Effective Date

03/15/2011

Expiration Date

06/30/2013

City

ALTON

State

Zip

62002

County

MADISON

Specialty/Qualifier

Advanced General Dentistry

Ever Disciplined

LastModifiedDate

10/07/2013