NIA MARSHALL DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****47

License Status

ACTIVE

Business

Title

DDS

First Name

NIA

Last Name

MARSHALL

Business Name

NIA MARSHALL DDS

Original Issue Date

07/01/2025

Effective Date

07/01/2025

Expiration Date

09/30/2027

City

CHICAGO

State

Zip

60620

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/07/2025