MARIE JEAN ZACHARIA Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****31

License Status

ACTIVE

Business

First Name

MARIE

Middle

JEAN

Last Name

ZACHARIA

Business Name

MARIE JEAN ZACHARIA

Original Issue Date

08/06/2018

Effective Date

07/22/2024

Expiration Date

09/30/2027

City

SKOKIE

State

Zip

60076

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/22/2024