MARK HARRIS JAFFE DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019015031

License Status

NOT RENEWED

Business

First Name

MARK HARRIS

Last Name

JAFFE

Suffix

DDS

Business Name

MARK HARRIS JAFFE DDS

Original Issue Date

07/17/1974

Effective Date

07/17/1974

City

CHICAGO

State

Zip

60616

County

COOK

Ever Disciplined

LastModifiedDate

10/12/2005