MARVIN ANTMAN Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****64

License Status

NOT RENEWED

Business

First Name

MARVIN

Last Name

ANTMAN

Business Name

MARVIN ANTMAN

Original Issue Date

01/01/1998

Expiration Date

09/30/1994

City

MORTON GROVE

State

Zip

60053

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/13/2005