MARION MICHAEL IVANS JR Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

LICENSED SPECIALIST IN DENTISTRY

License Number

021000662

License Status

INACTIVE

Business

First Name

MARION MICHAEL

Last Name

IVANS JR

Business Name

MARION MICHAEL IVANS JR

Original Issue Date

12/07/1970

Effective Date

12/07/1970

Expiration Date

09/30/2006

City

CHICAGO

State

Zip

60646

County

COOK

Specialty/Qualifier

Orthodontics

Ever Disciplined

LastModifiedDate

07/24/2006