TAMARA MARJAN Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****28

License Status

ACTIVE

Business

First Name

TAMARA

Last Name

MARJAN

Business Name

TAMARA MARJAN

Original Issue Date

08/06/2018

Effective Date

09/23/2024

Expiration Date

09/30/2027

City

CHICAGO

State

Zip

60601

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/23/2024