HARRISON EDWARD MACKLER DMD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****30

License Status

ACTIVE

Business

First Name

HARRISON

Middle

EDWARD

Last Name

MACKLER

Suffix

DMD

Business Name

HARRISON EDWARD MACKLER DMD

Original Issue Date

07/29/2014

Effective Date

09/23/2024

Expiration Date

09/30/2027

City

CHICAGO

State

Zip

60614

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/23/2024