RICHARD P MARTINO DDS - Dentist License in Illinois | # 137000024

RICHARD P MARTINO DDS

Business Entity

NOT RENEWED

License Type

Dentist

Description

DENTAL SEDATION PERMIT

License Number

137000024

License Status

NOT RENEWED

Business

N

First Name

RICHARD

Middle

P

Last Name

MARTINO

Suffix

DDS

Business Name

RICHARD P MARTINO DDS

Original Issue Date

01/01/1998

Effective Date

09/27/2018

Expiration Date

01/31/2022

State

IL

Specialty/Qualifier

Deep Sedation and General Anesthesia

Ever Disciplined

N

LastModifiedDate

05/09/2022