MARK LEON TANNENBAUM DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019015293

License Status

NOT RENEWED

Business

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

City

BURBANK

State

Zip

60459

County

COOK

Ever Disciplined

LastModifiedDate

10/31/2018