SOFIA I MARINO DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****64

License Status

NOT RENEWED

Business

Title

DDS

First Name

SOFIA

Middle

Last Name

MARINO

Business Name

SOFIA I MARINO DDS

BusinessDBA

CAZARES SOFIA I

Original Issue Date

02/26/1993

Effective Date

02/26/1993

Expiration Date

09/30/2002

City

MUNDELEIN

State

Zip

60060

County

LAKE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/17/2005