MARK ANTHONY FERRARI Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****47

License Status

NOT RENEWED

Business

First Name

MARK ANTHONY

Last Name

FERRARI

Business Name

MARK ANTHONY FERRARI

Original Issue Date

06/21/1985

Effective Date

06/21/1985

Expiration Date

09/30/1986

City

MAYWOOD

State

Zip

60153

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/13/2005