LARISA M MARKEWYCH Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****63

License Status

NOT RENEWED

Business

First Name

LARISA M

Last Name

MARKEWYCH

Business Name

LARISA M MARKEWYCH

Original Issue Date

08/16/1984

Effective Date

06/17/2009

Expiration Date

09/30/2012

City

PALOS HEIGHTS

State

Zip

60463

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/14/2012