RICHARD A MARTIN DDS - Dentist License in Illinois | # 021000589

RICHARD A MARTIN DDS

Business Entity

INACTIVE

License Type

Dentist

Description

LICENSED SPECIALIST IN DENTISTRY

License Number

021000589

License Status

INACTIVE

Business

N

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

State

IL

Specialty/Qualifier

Pediatric Dentist

Ever Disciplined

N

LastModifiedDate

07/30/2018