JAMIE MARIE MARQUEZ DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****61

License Status

NOT RENEWED

Business

Title

DMD

First Name

JAMIE

Middle

MARIE

Last Name

MARQUEZ

Business Name

JAMIE MARIE MARQUEZ DMD

Original Issue Date

08/08/2011

Effective Date

08/08/2011

Expiration Date

09/30/2012

City

CHICAGO

State

Zip

60613

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/14/2012