MARIELLEN P MADER - Dentist License in Illinois | # 020007682

MARIELLEN P MADER

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020007682

License Status

NOT RENEWED

Business

N

First Name

MARIELLEN

Middle

P

Last Name

MADER

Business Name

MARIELLEN P MADER

Original Issue Date

07/08/1992

Effective Date

08/14/2018

Expiration Date

01/31/2022

State

IL

Ever Disciplined

N

LastModifiedDate

05/09/2022