EARL EDWIN MARTIN DDS - Dentist License in Illinois | # 019014621

EARL EDWIN MARTIN DDS

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019014621

License Status

NOT RENEWED

Business

N

First Name

EARL

Middle

EDWIN

Last Name

MARTIN

Suffix

DDS

Business Name

EARL EDWIN MARTIN DDS

Original Issue Date

07/11/1973

Effective Date

09/26/2018

Expiration Date

01/31/2022

State

IL

Ever Disciplined

N

LastModifiedDate

05/09/2022