MARILYN D HATZ 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

First Name

MARILYN D

Last Name

HATZ

Suffix

DDS

Business Name

MARILYN D HATZ DDS

Original Issue Date

11/18/1991

Effective Date

09/14/2009

Expiration Date

09/30/2012

City

WINNETKA

State

Zip

60093

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/14/2012