MARLENE T ADAMS 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

MARLENE T

Last Name

ADAMS

Business Name

MARLENE T ADAMS

Original Issue Date

08/08/1991

Effective Date

08/08/1991

Expiration Date

09/30/1996

City

JOLIET

State

Zip

60435

County

WILL

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

10/13/2005