MARIE JEAN ZACHARIA Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****26

License Status

NOT RENEWED

Business

First Name

MARIE

Middle

JEAN

Last Name

ZACHARIA

Business Name

MARIE JEAN ZACHARIA

Original Issue Date

11/15/2021

Effective Date

11/15/2021

Expiration Date

09/30/2024

City

LINCOLNWOOD

State

Zip

60712

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/04/2025