MARITA ZGURI DMD 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

DMD

First Name

MARITA

Last Name

ZGURI

Business Name

MARITA ZGURI DMD

Original Issue Date

09/01/2020

Effective Date

09/01/2020

Expiration Date

01/31/2022

City

SHILOH

State

Zip

62269

County

SAINT CLAIR

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/09/2022