MARK WATANABE DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED SPECIALIST IN DENTISTRY

License Number

021000286

License Status

NOT RENEWED

Business

First Name

MARK

Last Name

WATANABE

Suffix

DDS

Business Name

MARK WATANABE DDS

Original Issue Date

12/23/1958

Effective Date

12/23/1958

Expiration Date

09/30/1988

City

RIVER FOREST

State

Zip

60305

County

COOK

Specialty/Qualifier

Orthodontics

Ever Disciplined

LastModifiedDate

10/13/2005