MARK M MKRDICHIAN Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****29

License Status

ACTIVE

Business

First Name

MARK M

Last Name

MKRDICHIAN

Business Name

MARK M MKRDICHIAN

BusinessDBA

MKRDICHIAN MKRDICH M

Original Issue Date

10/10/1983

Effective Date

08/26/2024

Expiration Date

09/30/2027

City

CHICAGO

State

Zip

60659

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

08/26/2024