MARILYS V EWA DDS - Dentist License in Illinois | # 019022941

MARILYS V EWA DDS

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019022941

License Status

ACTIVE

Business

N

First Name

MARILYS

Middle

V

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

State

IL

Ever Disciplined

Y

LastModifiedDate

08/05/2024

Case Number

2001004060

Action

Fine

Discipline Start Date

12/21/2004

Discipline Reason

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