PAUL WILLIAM MARTIN DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****25

License Status

NOT RENEWED

Business

First Name

PAUL WILLIAM

Last Name

MARTIN

Suffix

DDS

Business Name

PAUL WILLIAM MARTIN DDS

Original Issue Date

01/01/1998

Expiration Date

09/30/2004

City

O FALLON

State

Zip

62269

County

SAINT CLAIR

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/17/2005