MARK J PELOQUIN Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****23

License Status

ACTIVE

Business

First Name

MARK J

Last Name

PELOQUIN

Business Name

MARK J PELOQUIN

Original Issue Date

12/06/1989

Effective Date

09/03/2024

Expiration Date

09/30/2027

City

HOMER GLEN

State

Zip

60491

County

WILL

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/03/2024