OMAR MARCUS ATA DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019017861

License Status

NOT RENEWED

Business

First Name

OMAR MARCUS

Last Name

ATA

Suffix

DDS

Business Name

OMAR MARCUS ATA DDS

Original Issue Date

09/17/1981

Effective Date

09/17/1981

Expiration Date

09/30/1984

City

CHICAGO

State

Zip

60626

County

COOK

Ever Disciplined

LastModifiedDate

10/12/2005