MARK S PRILL Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****80

License Status

NOT RENEWED

Business

First Name

MARK S

Last Name

PRILL

Business Name

MARK S PRILL

Original Issue Date

08/18/1983

Effective Date

08/18/1983

Expiration Date

09/30/1994

City

CHICAGO

State

Zip

60605

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/13/2005