MARK GERARD DOLL DDS 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

MARK GERARD

Last Name

DOLL

Suffix

DDS

Business Name

MARK GERARD DOLL DDS

Original Issue Date

01/01/1998

Effective Date

12/15/2018

Expiration Date

01/31/2022

City

WEST CHICAGO

State

Zip

60185

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/09/2022