MIRON MICHAEL MARICK DDS 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

MIRON MICHAEL

Last Name

MARICK

Suffix

DDS

Business Name

MIRON MICHAEL MARICK DDS

Original Issue Date

01/01/1998

Expiration Date

09/30/1988

City

WHEATON

State

Zip

60187

County

DUPAGE

Controlled Substance Schedule

III IV

Ever Disciplined

LastModifiedDate

10/13/2005