MARK FRANCIS HAAS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****36

License Status

NOT RENEWED

Business

First Name

MARK FRANCIS

Last Name

HAAS

Business Name

MARK FRANCIS HAAS

Original Issue Date

05/30/1984

Effective Date

05/30/1984

Expiration Date

09/30/1984

City

BROADVIEW

State

Zip

60153

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/13/2005