MARILYS V EWA DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****82

License Status

ACTIVE

Business

First Name

MARILYS

Middle

Last Name

EWA

Suffix

DDS

Business Name

MARILYS V EWA DDS

Original Issue Date

02/08/1993

Effective Date

08/05/2024

Expiration Date

09/30/2027

City

CHICAGO

State

Zip

60629

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

08/05/2024