THOMAS FREDERICK MARTIN DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019013880

License Status

NOT RENEWED

Business

First Name

THOMAS FREDERICK

Last Name

MARTIN

Suffix

DDS

Business Name

THOMAS FREDERICK MARTIN DDS

Original Issue Date

07/07/1970

Effective Date

07/07/1970

Expiration Date

09/30/1990

City

CHICAGO

State

Zip

60612

County

COOK

Ever Disciplined

LastModifiedDate

10/12/2005