MARTIN J CISNEROS DMD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

DENTAL SEDATION PERMIT

License Number

137000721

License Status

ACTIVE

Business

First Name

MARTIN J

Last Name

CISNEROS

Suffix

DMD

Business Name

MARTIN J CISNEROS DMD

Original Issue Date

03/25/2008

Effective Date

09/04/2024

Expiration Date

09/30/2027

City

COLUMBIA

State

Zip

62236

County

MONROE

Specialty/Qualifier

CONSCIOUS SEDATION, PARENTERAL

Ever Disciplined

LastModifiedDate

12/12/2025