RENEE M MARTIN Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020010457

License Status

ACTIVE

Business

First Name

RENEE

Middle

Last Name

MARTIN

Business Name

RENEE M MARTIN

Original Issue Date

08/23/2002

Effective Date

08/15/2024

Expiration Date

09/30/2027

City

MOUNT PULASKI

State

Zip

62548

County

LOGAN

Ever Disciplined

LastModifiedDate

08/15/2024