MARY E TIERNEY DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****04

License Status

ACTIVE

Business

First Name

MARY

Middle

Last Name

TIERNEY

Suffix

DDS

Business Name

MARY E TIERNEY DDS

Original Issue Date

10/17/1995

Effective Date

05/13/2024

Expiration Date

09/30/2027

City

CHICAGO

State

Zip

60625

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/13/2024