CLINT MATTHEW MARTIN DMD - Dentist License in Illinois | # 137000879

CLINT MATTHEW MARTIN DMD

Business Entity

ACTIVE

License Type

Dentist

Description

DENTAL SEDATION PERMIT

License Number

137000879

License Status

ACTIVE

Business

N

First Name

CLINT

Middle

MATTHEW

Last Name

MARTIN

Suffix

DMD

Business Name

CLINT MATTHEW MARTIN DMD

Original Issue Date

10/03/2013

Effective Date

05/02/2024

Expiration Date

09/30/2027

State

IL

Specialty/Qualifier

CONSCIOUS SEDATION, PARENTERAL

Ever Disciplined

N

LastModifiedDate

05/02/2024