RICHARD P MARTINO DDS

Business Entity
NOT RENEWED

Dentist

LICENSED DENTIST CONTROLLED SUBSTANCE

31*****33

NOT RENEWED

N

RICHARD

P

MARTINO

DDS

RICHARD P MARTINO DDS

10/30/1990

09/27/2018

01/31/2022

HIGHLAND PARK

IL

60035

LAKE

II III IV V

N

05/09/2022