CLARISSA ANN MERTENS DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****13

License Status

ACTIVE

Business

Title

DDS

First Name

CLARISSA

Middle

ANN

Last Name

MERTENS

Business Name

CLARISSA ANN MERTENS DDS

Original Issue Date

07/01/2016

Effective Date

07/18/2024

Expiration Date

09/30/2027

City

HOMER GLEN

State

Zip

60491

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/18/2024