MARIELLEN P MADER Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020007682

License Status

NOT RENEWED

Business

First Name

MARIELLEN

Middle

Last Name

MADER

Business Name

MARIELLEN P MADER

Original Issue Date

07/08/1992

Effective Date

08/14/2018

Expiration Date

01/31/2022

City

BULL VALLEY

State

Zip

60097

County

MCHENRY

Ever Disciplined

LastModifiedDate

05/09/2022