JAIME RICK MARQUEZ DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****17

License Status

NOT RENEWED

Business

Title

DDS

First Name

JAIME

Middle

RICK

Last Name

MARQUEZ

Business Name

JAIME RICK MARQUEZ DDS

Original Issue Date

10/23/2017

Effective Date

10/25/2018

Expiration Date

01/31/2022

City

CHICAGO

State

Zip

60641

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/09/2022