CHRISTINE A MARIJANOVIC Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****03

License Status

NOT RENEWED

Business

First Name

CHRISTINE

Middle

Last Name

MARIJANOVIC

Business Name

CHRISTINE A MARIJANOVIC

Original Issue Date

07/16/2012

Effective Date

10/08/2015

Expiration Date

09/30/2018

City

CHICAGO

State

Zip

60618

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/31/2018