MARK DONALD PUSATERI DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****81

License Status

NOT RENEWED

Business

First Name

MARK DONALD

Last Name

PUSATERI

Suffix

DDS

Business Name

MARK DONALD PUSATERI DDS

Original Issue Date

10/09/1981

Effective Date

09/19/2018

Expiration Date

01/31/2022

City

PALATINE

State

Zip

60067

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/09/2022