MARK ALLAN MECLOSKY Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****56

License Status

NOT RENEWED

Business

First Name

MARK ALLAN

Last Name

MECLOSKY

Business Name

MARK ALLAN MECLOSKY

Original Issue Date

03/25/1986

Effective Date

03/25/1986

Expiration Date

09/30/1990

City

NORTH OLMSTED

State

Zip

44070

County

OHIO

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/13/2005