CARLA MARIE MARTINO Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020014690

License Status

NOT RENEWED

Business

First Name

CARLA

Middle

MARIE

Last Name

MARTINO

Business Name

CARLA MARIE MARTINO

Original Issue Date

07/10/2014

Effective Date

06/11/2015

Expiration Date

09/30/2018

City

ROANOKE

State

Zip

61561

County

WOODFORD

Ever Disciplined

LastModifiedDate

10/31/2018