MARK R DEAN DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019023047

License Status

NOT RENEWED

Business

First Name

MARK

Middle

Last Name

DEAN

Suffix

DDS

Business Name

MARK R DEAN DDS

Original Issue Date

10/07/1992

Effective Date

09/09/2009

Expiration Date

09/30/2012

City

CHICAGO

State

Zip

60613

County

COOK

Ever Disciplined

LastModifiedDate

11/14/2012

Case Number

2011006561

Action

Suspension

Discipline Start Date

10/14/2011

Discipline End Date

06/01/2012

Discipline Reason

Failure to file and/or pay Illinois state income taxes. Notice of tax deficiency release received from Department of Revenue on 06/04/2012.