MARK ROBERT TERRELL MD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019017290

License Status

NOT RENEWED

Business

First Name

MARK ROBERT

Last Name

TERRELL

Suffix

Business Name

MARK ROBERT TERRELL MD

Original Issue Date

07/10/1980

Effective Date

07/10/1980

Expiration Date

09/30/1990

City

NAPERVILLE

State

Zip

60540

County

DUPAGE

Ever Disciplined

LastModifiedDate

10/12/2005