CLINT MATTHEW MARTIN DMD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

DENTAL SEDATION PERMIT

License Number

137000879

License Status

ACTIVE

Business

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

City

PRINCEVILLE

State

Zip

61559

County

PEORIA

Specialty/Qualifier

CONSCIOUS SEDATION, PARENTERAL

Ever Disciplined

LastModifiedDate

05/02/2024