PAUL MARDEN ANFENSON 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

PAUL MARDEN

Last Name

ANFENSON

Business Name

PAUL MARDEN ANFENSON

Original Issue Date

09/21/1984

Effective Date

12/18/2021

Expiration Date

09/30/2024

City

ARLINGTON HEIGHTS

State

Zip

60005

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/04/2025