MELVIN MARLO MACLIN Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****18

License Status

NOT RENEWED

Business

First Name

MELVIN MARLO

Last Name

MACLIN

Business Name

MELVIN MARLO MACLIN

Original Issue Date

01/01/1998

Expiration Date

09/30/1992

City

CHICAGO

State

Zip

60628

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/13/2005