HARRISON EDWARD MACKLER DMD - Dentist License in Illinois | # 018001839

HARRISON EDWARD MACKLER DMD

Business Entity

NOT RENEWED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018001839

License Status

NOT RENEWED

Business

N

First Name

HARRISON

Middle

EDWARD

Last Name

MACKLER

Suffix

DMD

Business Name

HARRISON EDWARD MACKLER DMD

Original Issue Date

06/19/2012

Effective Date

07/01/2012

Expiration Date

06/30/2015

State

IL

Specialty/Qualifier

Periodontics

Ever Disciplined

N

LastModifiedDate

01/07/2016