DANIEL JOSEPH MARTISIUS DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

DENTAL SEDATION PERMIT

License Number

137000114

License Status

NOT RENEWED

Business

First Name

DANIEL JOSEPH

Last Name

MARTISIUS

Suffix

DDS

Business Name

DANIEL JOSEPH MARTISIUS DDS

Original Issue Date

01/01/1998

Expiration Date

09/30/2004

City

ELK GROVE VILLAGE

State

Zip

60007

County

COOK

Specialty/Qualifier

Deep Sedation and General Anesthesia

Ever Disciplined

LastModifiedDate

10/17/2005