MARK SAMUEL ANTMAN Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019018862

License Status

NOT RENEWED

Business

First Name

MARK SAMUEL

Last Name

ANTMAN

Business Name

MARK SAMUEL ANTMAN

Original Issue Date

10/03/1983

Effective Date

10/14/2009

Expiration Date

09/30/2012

City

EVANSTON

State

Zip

60202

County

COOK

Ever Disciplined

LastModifiedDate

11/14/2012