CAROL MARIE MARTIN Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020003519

License Status

ACTIVE

Business

First Name

CAROL MARIE

Last Name

MARTIN

Business Name

CAROL MARIE MARTIN

Original Issue Date

06/20/1978

Effective Date

06/04/2024

Expiration Date

09/30/2027

City

PRINCEVILLE

State

Zip

61559

County

PEORIA

Ever Disciplined

LastModifiedDate

06/04/2024