MARISA BUCKNER DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****82

License Status

ACTIVE

Business

Title

DDS

First Name

MARISA

Last Name

BUCKNER

Business Name

MARISA BUCKNER DDS

Original Issue Date

08/16/2018

Effective Date

05/01/2024

Expiration Date

09/30/2027

City

SYCAMORE

State

Zip

60178

County

DEKALB

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/26/2024