MARK ALAN O'BANION DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****39

License Status

NOT RENEWED

Business

First Name

MARK

Middle

ALAN

Last Name

O'BANION

Suffix

DMD

Business Name

MARK ALAN O'BANION DMD

Original Issue Date

08/09/1999

Effective Date

07/03/2012

Expiration Date

09/30/2015

City

SOUTH ELGIN

State

Zip

60177

County

KANE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/08/2016