MARK L STASIULIS 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

MARK

Middle

Last Name

STASIULIS

Suffix

DDS

Business Name

MARK L STASIULIS DDS

Original Issue Date

07/22/1981

Effective Date

09/22/2021

Expiration Date

09/30/2024

City

ELMHURST

State

Zip

60126

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/22/2025