MARK T MCGUIRE Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****96

License Status

NOT RENEWED

Business

First Name

MARK T

Last Name

MCGUIRE

Business Name

MARK T MCGUIRE

Original Issue Date

09/07/1990

Effective Date

09/07/1990

Expiration Date

09/30/1994

City

CRYSTAL LAKE

State

Zip

60014

County

MCHENRY

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/13/2005