RICHARD P MARTINO DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****32

License Status

NOT RENEWED

Business

First Name

RICHARD

Middle

Last Name

MARTINO

Suffix

DDS

Business Name

RICHARD P MARTINO DDS

Original Issue Date

01/01/1998

Effective Date

09/27/2018

Expiration Date

01/31/2022

City

LAKE FOREST

State

Zip

60045

County

LAKE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/09/2022