JEFFERY C MARKT Dentist License verification

Business Entity

INOPERATIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****36

License Status

INOPERATIVE

Business

First Name

JEFFERY C

Last Name

MARKT

Business Name

JEFFERY C MARKT

Original Issue Date

10/19/1995

Effective Date

10/19/1995

Expiration Date

09/30/1998

City

EAST ALTON

State

Zip

62024

County

MADISON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/13/2005