MARY K KANE Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****94

License Status

NOT RENEWED

Business

First Name

MARY K

Last Name

KANE

Business Name

MARY K KANE

Original Issue Date

06/20/1983

Effective Date

06/20/1983

Expiration Date

09/30/1984

City

CHICAGO

State

Zip

60652

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/13/2005