BEVERLY K MARTINSONS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****17

License Status

NOT RENEWED

Business

First Name

BEVERLY K

Last Name

MARTINSONS

Business Name

BEVERLY K MARTINSONS

Original Issue Date

08/28/1986

Effective Date

08/28/1986

Expiration Date

09/30/2004

City

CHICAGO

State

Zip

60646

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/17/2005