GREGORY P MARTIN DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****39

License Status

ACTIVE

Business

First Name

GREGORY P

Last Name

MARTIN

Suffix

DDS

Business Name

GREGORY P MARTIN DDS

Original Issue Date

03/03/1989

Effective Date

07/26/2024

Expiration Date

09/30/2027

City

CHAMPAIGN

State

Zip

61821

County

CHAMPAIGN

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/26/2024