FRED J MARCHESE Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****61

License Status

NOT RENEWED

Business

First Name

FRED J

Last Name

MARCHESE

Business Name

FRED J MARCHESE

Original Issue Date

08/16/1984

Effective Date

10/22/2021

Expiration Date

09/30/2024

City

MELROSE PARK

State

Zip

60160

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/04/2025