MARVIN MORTON PUKLIN DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****65

License Status

NOT RENEWED

Business

First Name

MARVIN MORTON

Last Name

PUKLIN

Suffix

DDS

Business Name

MARVIN MORTON PUKLIN DDS

Original Issue Date

01/01/1998

Expiration Date

09/30/1988

City

AURORA

State

Zip

60505

County

KANE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/13/2005