MARISSA A ZOLADZ DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****95

License Status

NOT RENEWED

Business

First Name

MARISSA

Middle

Last Name

ZOLADZ

Suffix

DDS

Business Name

MARISSA A ZOLADZ DDS

Original Issue Date

06/14/2007

Effective Date

06/14/2007

Expiration Date

09/30/2009

City

DOLTON

State

Zip

60419

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

I II III IV

Ever Disciplined

LastModifiedDate

11/04/2009