EARL EDWIN MARTIN DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019014621

License Status

NOT RENEWED

Business

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

City

COAL VALLEY

State

Zip

61240

County

ROCK ISLAND

Ever Disciplined

LastModifiedDate

05/09/2022