MARK J KOLLER Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****95

License Status

ACTIVE

Business

First Name

MARK J

Last Name

KOLLER

Business Name

MARK J KOLLER

Original Issue Date

08/05/1985

Effective Date

07/28/2024

Expiration Date

09/30/2027

City

ARLINGTON HEIGHTS

State

Zip

60005

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/28/2024