MARTIN A DETTMER DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****20

License Status

NOT RENEWED

Business

First Name

MARTIN A

Last Name

DETTMER

Suffix

DDS

Business Name

MARTIN A DETTMER DDS

Original Issue Date

01/01/1998

Effective Date

07/06/2012

Expiration Date

09/30/2015

City

WHEATON

State

Zip

60187

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/08/2016