MARK ALLEN SAXEN DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019016427

License Status

NOT RENEWED

Business

First Name

MARK ALLEN

Last Name

SAXEN

Suffix

DDS

Business Name

MARK ALLEN SAXEN DDS

Original Issue Date

07/11/1978

Effective Date

07/11/1978

Expiration Date

09/30/1990

City

SPRINGFIELD

State

Zip

62704

County

SANGAMON

Ever Disciplined

LastModifiedDate

10/12/2005