MARTIN S WELCH JR Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****08

License Status

NOT RENEWED

Business

First Name

MARTIN

Middle

Last Name

WELCH

Suffix

Business Name

MARTIN S WELCH JR

Original Issue Date

01/01/1998

Effective Date

12/21/2006

Expiration Date

09/30/2009

City

OAK PARK

State

Zip

60302

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/04/2009