WAYNE M MRJENOVICH DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****16

License Status

NOT RENEWED

Business

First Name

WAYNE M

Last Name

MRJENOVICH

Suffix

DDS

Business Name

WAYNE M MRJENOVICH DDS

Original Issue Date

08/04/1982

Effective Date

08/29/2012

Expiration Date

09/30/2015

City

BURR RIDGE

State

Zip

60527

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/08/2016