MARY ELLEN MCCORMACK DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****92

License Status

ACTIVE

Business

First Name

MARY

Middle

ELLEN

Last Name

MCCORMACK

Suffix

DDS

Business Name

MARY ELLEN MCCORMACK DDS

Original Issue Date

02/08/2000

Effective Date

08/30/2024

Expiration Date

09/30/2027

City

CHICAGO

State

Zip

60631

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

08/30/2024