SUZANNE L MAHONEY Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****97

License Status

NOT RENEWED

Business

First Name

SUZANNE L

Last Name

MAHONEY

Business Name

SUZANNE L MAHONEY

Original Issue Date

03/05/1987

Effective Date

09/01/2015

Expiration Date

09/30/2018

City

ELMHURST

State

Zip

60126

County

DUPAGE

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

10/31/2018