MARVIN GREENE DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

DENTAL SEDATION PERMIT

License Number

137000298

License Status

NOT RENEWED

Business

First Name

MARVIN

Last Name

GREENE

Suffix

DDS

Business Name

MARVIN GREENE DDS

Original Issue Date

10/22/1991

Effective Date

09/03/2015

Expiration Date

09/30/2018

City

CHICAGO

State

Zip

60614

County

COOK

Specialty/Qualifier

Deep Sedation and General Anesthesia

Ever Disciplined

LastModifiedDate

10/31/2018