MADELEINE LORRAINE MARTIN Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020010144

License Status

NOT RENEWED

Business

First Name

MADELEINE

Middle

LORRAINE

Last Name

MARTIN

Business Name

MADELEINE LORRAINE MARTIN

Original Issue Date

08/24/2001

Effective Date

07/28/2015

Expiration Date

09/30/2018

City

PEORIA

State

Zip

61605

County

PEORIA

Ever Disciplined

LastModifiedDate

10/31/2018