NATANYA MARRACINO BROWN DMD 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

NATANYA

Middle

MARRACINO

Last Name

BROWN

Suffix

DMD

Business Name

NATANYA MARRACINO BROWN DMD

Original Issue Date

01/21/2009

Effective Date

01/21/2009

Expiration Date

09/30/2009

City

CHICAGO

State

Zip

60612

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/04/2009