EDWARD P MARCIN Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****02

License Status

NOT RENEWED

Business

First Name

EDWARD P

Last Name

MARCIN

Business Name

EDWARD P MARCIN

Original Issue Date

09/27/1994

Effective Date

09/27/1994

Expiration Date

09/30/1998

City

NAPERVILLE

State

Zip

60565

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/13/2005