MARIELL DEMERTZIS DMD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****47

License Status

ACTIVE

Business

Title

DMD

First Name

MARIELL

Last Name

DEMERTZIS

Business Name

MARIELL DEMERTZIS DMD

Original Issue Date

07/22/2022

Effective Date

09/03/2024

Expiration Date

09/30/2027

City

SKOKIE

State

Zip

60077

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/03/2024