SUSAN G MARTINEZ DDS Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019021891

License Status

INACTIVE

Business

First Name

SUSAN G

Last Name

MARTINEZ

Suffix

DDS

Business Name

SUSAN G MARTINEZ DDS

Original Issue Date

12/30/1989

Effective Date

12/30/1989

Expiration Date

09/30/2004

City

RIVER FOREST

State

Zip

60305

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005