MARLENE LYNN BEESON Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****55

License Status

NOT RENEWED

Business

First Name

MARLENE

Middle

LYNN

Last Name

BEESON

Business Name

MARLENE LYNN BEESON

Original Issue Date

10/28/2010

Effective Date

10/28/2010

Expiration Date

09/30/2012

City

FOREST PARK

State

Zip

60130

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/14/2012