MARISSA MARIE SPICA DMD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019034944

License Status

ACTIVE

Business

Title

DMD

First Name

MARISSA

Middle

MARIE

Last Name

SPICA

Business Name

MARISSA MARIE SPICA DMD

Original Issue Date

03/08/2024

Effective Date

07/13/2024

Expiration Date

09/30/2027

City

CHICAGO

State

Zip

60607

County

COOK

Ever Disciplined

LastModifiedDate

07/13/2024