EMILY S MARTIN DMD - Dentist License in Missouri | # 31*****96

EMILY S MARTIN DMD

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****96

License Status

NOT RENEWED

Business

N

Title

DMD

First Name

EMILY

Middle

S

Last Name

MARTIN

Business Name

EMILY S MARTIN DMD

Original Issue Date

08/21/2012

Effective Date

09/30/2021

Expiration Date

09/30/2024

State

MO

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

N

LastModifiedDate

02/04/2025