MARK G KASCHUBE Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****04

License Status

NOT RENEWED

Business

First Name

MARK G

Last Name

KASCHUBE

Business Name

MARK G KASCHUBE

Original Issue Date

10/11/2000

Effective Date

12/17/2021

Expiration Date

09/30/2024

City

CHANNAHON

State

Zip

60410

County

WILL

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/04/2025