MARTIN F LAND Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****36

License Status

NOT RENEWED

Business

First Name

MARTIN F

Last Name

LAND

Business Name

MARTIN F LAND

Original Issue Date

05/09/1991

Effective Date

06/07/2018

Expiration Date

01/31/2022

City

ALTON

State

Zip

62002

County

MADISON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/09/2022