STEPHANE MAC DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019029729

License Status

NOT RENEWED

Business

Title

DMD

First Name

STEPHANE

Last Name

MAC

Business Name

STEPHANE MAC DMD

Original Issue Date

03/24/2014

Effective Date

03/24/2014

Expiration Date

09/30/2015

City

HIGHLAND PARK

State

Zip

60035

County

LAKE

Ever Disciplined

LastModifiedDate

02/08/2016