MARK J NOLL DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****06

License Status

NOT RENEWED

Business

First Name

MARK J

Last Name

NOLL

Suffix

DDS

Business Name

MARK J NOLL DDS

Original Issue Date

06/24/1992

Effective Date

06/24/1992

Expiration Date

09/30/1994

City

HOFFMAN ESTATES

State

Zip

60195

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/17/2005