MARTA ZAKOVICH Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****61

License Status

ACTIVE

Business

First Name

MARTA

Last Name

ZAKOVICH

Business Name

MARTA ZAKOVICH

Original Issue Date

05/05/2025

Effective Date

05/05/2025

Expiration Date

09/30/2027

City

BELLEVILLE

State

Zip

62221

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/17/2024