IAN W MARION DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****74

License Status

NOT RENEWED

Business

Title

DDS

First Name

IAN

Middle

Last Name

MARION

Business Name

IAN W MARION DDS

Original Issue Date

02/21/2017

Effective Date

10/13/2021

Expiration Date

09/30/2024

City

CHICAGO

State

Zip

60612

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/04/2025