NORMAN P MARTINEZ LOPEZ Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019016540

License Status

ACTIVE

Business

First Name

NORMAN P

Middle

MARTINEZ

Last Name

LOPEZ

Business Name

NORMAN P MARTINEZ LOPEZ

Original Issue Date

09/12/1978

Effective Date

06/03/2024

Expiration Date

09/30/2027

City

GODFREY

State

Zip

62035

County

MADISON

Ever Disciplined

LastModifiedDate

06/03/2024