MARTIN RAUL SALAZAR DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****14

License Status

NOT RENEWED

Business

First Name

MARTIN

Middle

RAUL

Last Name

SALAZAR

Suffix

DDS

Business Name

MARTIN RAUL SALAZAR DDS

Original Issue Date

08/11/2006

Effective Date

08/11/2006

Expiration Date

09/30/2009

City

RIVERSIDE

State

Zip

60546

County

COOK

Ever Disciplined

LastModifiedDate

11/04/2009