RICHARD A MARTIN DDS Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019013170

License Status

INACTIVE

Business

First Name

RICHARD A

Last Name

MARTIN

Suffix

DDS

Business Name

RICHARD A MARTIN DDS

Original Issue Date

07/20/1967

Effective Date

07/20/1967

Expiration Date

09/30/2000

City

NORMAL

State

Zip

61761

County

MCLEAN

Ever Disciplined

LastModifiedDate

10/17/2005