JACK CHARLES MORKIN DMD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****58

License Status

ACTIVE

Business

Title

DMD

First Name

JACK

Middle

CHARLES

Last Name

MORKIN

Business Name

JACK CHARLES MORKIN DMD

Original Issue Date

07/15/2023

Effective Date

06/17/2024

Expiration Date

09/30/2027

City

NORMAL

State

Zip

61761

County

MCLEAN

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III

Ever Disciplined

LastModifiedDate

06/17/2024