DANIEL ANDERSON MARTIN DMD Dentist License verification

Business Entity

EXPIRED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018001809

License Status

EXPIRED

Business

First Name

DANIEL

Middle

ANDERSON

Last Name

MARTIN

Suffix

DMD

Business Name

DANIEL ANDERSON MARTIN DMD

Original Issue Date

06/21/2011

Effective Date

07/01/2011

Expiration Date

06/30/2012

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Oral and Maxillofacial Surgery

Ever Disciplined

LastModifiedDate

08/29/2012