MARK ALLEN SAXEN DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****79

License Status

NOT RENEWED

Business

First Name

MARK ALLEN

Last Name

SAXEN

Suffix

DDS

Business Name

MARK ALLEN SAXEN DDS

Original Issue Date

01/01/1998

Expiration Date

09/30/1990

City

SPRINGFIELD

State

Zip

62704

County

SANGAMON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/13/2005