CARLA LYNN MARTIN Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020010110

License Status

NOT RENEWED

Business

First Name

CARLA

Middle

LYNN

Last Name

MARTIN

Business Name

CARLA LYNN MARTIN

Original Issue Date

08/15/2001

Effective Date

08/15/2001

Expiration Date

09/30/2002

City

MCHENRY

State

Zip

60050

County

MCHENRY

Ever Disciplined

LastModifiedDate

10/17/2005