MARIAN M ESPINO Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****07

License Status

NOT RENEWED

Business

First Name

MARIAN M

Last Name

ESPINO

Business Name

MARIAN M ESPINO

Original Issue Date

02/24/1988

Effective Date

10/31/2011

Expiration Date

09/30/2012

City

GENEVA

State

Zip

60134

County

KANE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/14/2012