MARK R HOUSKA DMD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****03

License Status

ACTIVE

Business

First Name

MARK R

Last Name

HOUSKA

Suffix

DMD

Business Name

MARK R HOUSKA DMD

Original Issue Date

03/09/1989

Effective Date

08/05/2024

Expiration Date

09/30/2027

City

BLOOMINGTON

State

Zip

61704

County

MCLEAN

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

08/05/2024