RICHARD A MARTIN DDS Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

LICENSED SPECIALIST IN DENTISTRY

License Number

021000589

License Status

INACTIVE

Business

First Name

RICHARD A

Last Name

MARTIN

Suffix

DDS

Business Name

RICHARD A MARTIN DDS

Original Issue Date

12/19/1968

Effective Date

12/19/1968

Expiration Date

09/30/2000

City

BLOOMINGTON

State

Zip

61701

County

MCLEAN

Specialty/Qualifier

Pediatric Dentist

Ever Disciplined

LastModifiedDate

07/30/2018