SUSAN G MARTINEZ DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****31

License Status

NOT RENEWED

Business

First Name

SUSAN G

Last Name

MARTINEZ

Suffix

DDS

Business Name

SUSAN G MARTINEZ DDS

Original Issue Date

02/01/1990

Effective Date

02/01/1990

Expiration Date

09/30/1992

City

CHICAGO

State

Zip

60632

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/17/2005