MARK J HUMENIK DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****46

License Status

ACTIVE

Business

First Name

MARK J

Last Name

HUMENIK

Suffix

DDS

Business Name

MARK J HUMENIK DDS

Original Issue Date

10/17/1988

Effective Date

06/11/2024

Expiration Date

09/30/2027

City

NORTHBROOK

State

Zip

60062

County

COOK

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

06/11/2024