COREY DUANE MARTINEZ DDS Dentist License verification

Business Entity

CANCELLED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018001939

License Status

CANCELLED

Business

Title

DDS

First Name

COREY

Middle

DUANE

Last Name

MARTINEZ

Business Name

COREY DUANE MARTINEZ DDS

Original Issue Date

06/02/2015

Effective Date

06/24/2015

Expiration Date

06/30/2016

City

EVANSTON

State

Zip

60201

County

COOK

Specialty/Qualifier

General Practice Residency

Ever Disciplined

LastModifiedDate

06/02/2015