MARMAR MODARRESSI DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****20

License Status

ACTIVE

Business

Title

DDS

First Name

MARMAR

Last Name

MODARRESSI

Business Name

MARMAR MODARRESSI DDS

Original Issue Date

10/03/2011

Effective Date

06/13/2024

Expiration Date

09/30/2027

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/13/2024