ASHLEY MARTENS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****33

License Status

ACTIVE

Business

First Name

ASHLEY

Last Name

MARTENS

Business Name

ASHLEY MARTENS

Original Issue Date

10/03/2019

Effective Date

09/30/2024

Expiration Date

09/30/2027

City

DECATUR

State

Zip

62526

County

MACON

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/30/2024