MARIE CHMIEL LARSON Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019009612

License Status

NOT RENEWED

Business

First Name

MARIE CHMIEL

Last Name

LARSON

Business Name

MARIE CHMIEL LARSON

Original Issue Date

08/29/1949

Effective Date

08/29/1949

Expiration Date

09/30/1986

City

MOUNT PROSPECT

State

Zip

60056

County

COOK

Ever Disciplined

LastModifiedDate

10/12/2005