MARK ROBERT TERRELL MD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****41

License Status

NOT RENEWED

Business

First Name

MARK ROBERT

Last Name

TERRELL

Suffix

Business Name

MARK ROBERT TERRELL MD

Original Issue Date

01/01/1998

Expiration Date

09/30/1990

City

NAPERVILLE

State

Zip

60540

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/13/2005