OTTO F MARES Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****98

License Status

NOT RENEWED

Business

First Name

OTTO F

Last Name

MARES

Business Name

OTTO F MARES

Original Issue Date

08/10/1983

Effective Date

09/21/2015

Expiration Date

09/30/2018

City

DUQUOIN

State

Zip

62832

County

PERRY

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/31/2018