MICHELLE AKEMI MARCANO Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****79

License Status

ACTIVE

Business

First Name

MICHELLE

Middle

AKEMI

Last Name

MARCANO

Business Name

MICHELLE AKEMI MARCANO

Original Issue Date

10/22/2020

Effective Date

09/05/2024

Expiration Date

09/30/2027

City

CHICAGO

State

Zip

60606

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/05/2024