MARK EVAN GLESNE DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019016154

License Status

NOT RENEWED

Business

First Name

MARK EVAN

Last Name

GLESNE

Suffix

DDS

Business Name

MARK EVAN GLESNE DDS

Original Issue Date

09/29/1977

Effective Date

09/29/2021

Expiration Date

09/30/2024

City

PEKIN

State

Zip

61554

County

TAZEWELL

Ever Disciplined

LastModifiedDate

02/04/2025