MARSHALL JUN SHIKAMI 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

MARSHALL JUN

Last Name

SHIKAMI

Business Name

MARSHALL JUN SHIKAMI

Original Issue Date

12/19/1983

Effective Date

06/07/2018

Expiration Date

01/31/2022

City

CHICAGO HEIGHTS

State

Zip

60411

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/09/2022