MALLORY MARQUIE DDS 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

MALLORY

Last Name

MARQUIE

Suffix

DDS

Business Name

MALLORY MARQUIE DDS

Original Issue Date

10/24/2014

Effective Date

10/24/2014

Expiration Date

09/30/2015

City

KANKAKEE

State

Zip

60901

County

KANKAKEE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/08/2016