MARK ANTHONY MENES DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****37

License Status

NOT RENEWED

Business

First Name

MARK

Middle

ANTHONY

Last Name

MENES

Suffix

DDS

Business Name

MARK ANTHONY MENES DDS

Original Issue Date

10/30/2000

Effective Date

10/30/2000

Expiration Date

09/30/2004

City

HINSDALE

State

Zip

60521

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/17/2005