MARY LUCIA MARIANI Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****58

License Status

NOT RENEWED

Business

First Name

MARY

Middle

LUCIA

Last Name

MARIANI

Business Name

MARY LUCIA MARIANI

Original Issue Date

01/28/2009

Effective Date

07/02/2012

Expiration Date

09/30/2015

City

ROCK ISLAND

State

Zip

61201

County

ROCK ISLAND

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/08/2016