MARK EDWARD GERMAN Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****00

License Status

NOT RENEWED

Business

First Name

MARK EDWARD

Last Name

GERMAN

Business Name

MARK EDWARD GERMAN

Original Issue Date

08/07/1985

Effective Date

09/11/2021

Expiration Date

09/30/2024

City

DIXON

State

Zip

61021

County

LEE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/04/2025