MARILYN PATRICE PALM DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019017917

License Status

NOT RENEWED

Business

First Name

MARILYN PATRICE

Last Name

PALM

Suffix

DDS

Business Name

MARILYN PATRICE PALM DDS

Original Issue Date

09/25/1981

Effective Date

10/01/2006

Expiration Date

09/30/2009

City

CHICAGO

State

Zip

60615

County

COOK

Ever Disciplined

LastModifiedDate

01/08/2010