MARK R DEAN DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****73

License Status

NOT RENEWED

Business

First Name

MARK

Middle

Last Name

DEAN

Suffix

DDS

Business Name

MARK R DEAN DDS

Original Issue Date

12/30/1992

Effective Date

09/09/2009

Expiration Date

09/30/2012

City

CHICAGO

State

Zip

60613

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/14/2012