JOHN T MARTIN DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****35

License Status

NOT RENEWED

Business

First Name

JOHN T

Last Name

MARTIN

Suffix

DDS

Business Name

JOHN T MARTIN DDS

Original Issue Date

06/24/1996

Effective Date

06/24/1996

Expiration Date

09/30/2006

City

CHICAGO

State

Zip

60613

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/08/2006