DANIEL JOSEPH MARTISIUS DDS - Dentist License in Illinois | # 137000114

DANIEL JOSEPH MARTISIUS DDS

Business Entity

NOT RENEWED

License Type

Dentist

Description

DENTAL SEDATION PERMIT

License Number

137000114

License Status

NOT RENEWED

Business

N

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

State

IL

Specialty/Qualifier

Deep Sedation and General Anesthesia

Ever Disciplined

N

LastModifiedDate

10/17/2005