NORMAN P MARTINEZ LOPEZ Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED SPECIALIST IN DENTISTRY

License Number

021001683

License Status

NOT RENEWED

Business

First Name

NORMAN P

Middle

MARTINEZ

Last Name

LOPEZ

Business Name

NORMAN P MARTINEZ LOPEZ

Original Issue Date

03/26/1994

Effective Date

07/24/2006

Expiration Date

09/30/2009

City

GODFREY

State

Zip

62035

County

MADISON

Specialty/Qualifier

Pediatric Dentist

Ever Disciplined

LastModifiedDate

07/30/2018