DANIEL JOSEPH MARTISIUS DDS - Dentist License in Illinois | # 019012218

DANIEL JOSEPH MARTISIUS DDS

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019012218

License Status

NOT RENEWED

Business

N

First Name

DANIEL JOSEPH

Last Name

MARTISIUS

Suffix

DDS

Business Name

DANIEL JOSEPH MARTISIUS DDS

Original Issue Date

07/17/1963

Effective Date

07/17/1963

Expiration Date

09/30/2004

State

IL

Ever Disciplined

N

LastModifiedDate

10/17/2005