MARK JOSHUA PAYNE DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019029213

License Status

NOT RENEWED

Business

Title

DMD

First Name

MARK

Middle

JOSHUA

Last Name

PAYNE

Business Name

MARK JOSHUA PAYNE DMD

Original Issue Date

08/10/2012

Effective Date

08/25/2015

Expiration Date

09/30/2018

City

CHICAGO

State

Zip

60657

County

COOK

Ever Disciplined

LastModifiedDate

10/31/2018