MARTHA HA DDS Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019029427

License Status

INACTIVE

Business

Title

DDS

First Name

MARTHA

Last Name

Business Name

MARTHA HA DDS

Original Issue Date

06/11/2013

Effective Date

09/17/2015

Expiration Date

09/30/2018

City

CHICAGO

State

Zip

60610

County

COOK

Ever Disciplined

LastModifiedDate

06/07/2018