DANIEL JOSEPH MARTISIUS DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED SPECIALIST IN DENTISTRY

License Number

021000666

License Status

NOT RENEWED

Business

First Name

DANIEL JOSEPH

Last Name

MARTISIUS

Suffix

DDS

Business Name

DANIEL JOSEPH MARTISIUS DDS

Original Issue Date

12/07/1970

Effective Date

12/07/1970

Expiration Date

09/30/2004

City

ELK GROVE VILLAGE

State

Zip

60007

County

COOK

Specialty/Qualifier

Oral and Maxillofacial Surgery

Ever Disciplined

LastModifiedDate

10/17/2005