MARK LEON TANNENBAUM DDS - Dentist License in Illinois | # 019015293

MARK LEON TANNENBAUM DDS

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019015293

License Status

NOT RENEWED

Business

N

First Name

MARK LEON

Last Name

TANNENBAUM

Suffix

DDS

Business Name

MARK LEON TANNENBAUM DDS

Original Issue Date

07/29/1975

Effective Date

08/26/2015

Expiration Date

09/30/2018

State

IL

Ever Disciplined

N

LastModifiedDate

10/31/2018