MARY PATRICIA BURGESS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020003600

License Status

NOT RENEWED

Business

First Name

MARY PATRICIA

Last Name

BURGESS

Business Name

MARY PATRICIA BURGESS

Original Issue Date

07/11/1978

Effective Date

12/10/2021

Expiration Date

09/30/2024

City

CHICAGO

State

Zip

60640

County

COOK

Ever Disciplined

LastModifiedDate

02/04/2025