MARTIN MARSHACK DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****13

License Status

NOT RENEWED

Business

First Name

MARTIN

Last Name

MARSHACK

Suffix

DDS

Business Name

MARTIN MARSHACK DDS

Original Issue Date

09/22/1988

Effective Date

07/24/2019

Expiration Date

01/31/2022

City

NORTHBROOK

State

Zip

60062

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/09/2022