MARVIN C AMAYUN DMD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****47

License Status

ACTIVE

Business

First Name

MARVIN

Middle

Last Name

AMAYUN

Suffix

DMD

Business Name

MARVIN C AMAYUN DMD

Original Issue Date

09/04/2003

Effective Date

09/30/2024

Expiration Date

09/30/2027

City

ELK GROVE VILLAGE

State

Zip

60007

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/30/2024