MARK F ROBACK DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****24

License Status

NOT RENEWED

Business

First Name

MARK F

Last Name

ROBACK

Suffix

DMD

Business Name

MARK F ROBACK DMD

Original Issue Date

11/10/1993

Effective Date

11/10/1993

Expiration Date

09/30/1994

City

BLOOMINGDALE

State

Zip

60108

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/13/2005