MARK STEPHEN DAVIS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****51

License Status

NOT RENEWED

Business

First Name

MARK STEPHEN

Last Name

DAVIS

Business Name

MARK STEPHEN DAVIS

Original Issue Date

04/27/1990

Effective Date

09/30/2015

Expiration Date

09/30/2018

City

WHEATON

State

Zip

60189

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/31/2018