MARIANNA MARSHALL GOETZ DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****20

License Status

NOT RENEWED

Business

Title

DDS

First Name

MARIANNA

Middle

MARSHALL

Last Name

GOETZ

Business Name

MARIANNA MARSHALL GOETZ DDS

Original Issue Date

07/27/2016

Effective Date

12/31/2021

Expiration Date

09/30/2024

City

LOMBARD

State

Zip

60148

County

DUPAGE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/04/2025