HARRISON EDWARD MACKLER DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018001839

License Status

NOT RENEWED

Business

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

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Periodontics

Ever Disciplined

LastModifiedDate

01/07/2016