COURTNEY ANNE MARTUSIEWICZ DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019029014

License Status

NOT RENEWED

Business

First Name

COURTNEY

Middle

ANNE

Last Name

MARTUSIEWICZ

Suffix

DDS

Business Name

COURTNEY ANNE MARTUSIEWICZ DDS

Original Issue Date

06/04/2012

Effective Date

09/17/2015

Expiration Date

09/30/2018

City

CHICAGO

State

Zip

60654

County

COOK

Ever Disciplined

LastModifiedDate

10/31/2018