MARK HOWARD MELNICK Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****92

License Status

NOT RENEWED

Business

First Name

MARK HOWARD

Last Name

MELNICK

Business Name

MARK HOWARD MELNICK

Original Issue Date

08/18/1982

Effective Date

08/18/1982

Expiration Date

09/30/1984

City

CHICAGO

State

Zip

60613

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/13/2005