MARILYS V EWA DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019022941

License Status

ACTIVE

Business

First Name

MARILYS

Middle

Last Name

EWA

Suffix

DDS

Business Name

MARILYS V EWA DDS

Original Issue Date

08/06/1992

Effective Date

08/05/2024

Expiration Date

09/30/2027

City

CHICAGO

State

Zip

60629

County

COOK

Ever Disciplined

LastModifiedDate

08/05/2024

Case Number

2001004060

Action

Reprimand

Discipline Start Date

12/21/2004

Discipline Reason

PROVIDED FALSE INFORMATION TO AN IDFPR INVESTIGATOR AND FAILED TO COMPLETE STATUTORILY MANDATED CONTINUING EDUCATION.