DEBORAH S MARMOR Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****05

License Status

NOT RENEWED

Business

First Name

DEBORAH

Middle

Last Name

MARMOR

Business Name

DEBORAH S MARMOR

Original Issue Date

08/07/2006

Effective Date

06/12/2018

Expiration Date

01/31/2022

City

EVANSTON

State

Zip

60203

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV

Ever Disciplined

LastModifiedDate

05/09/2022