MARTA P SPEAKMAN DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****41

License Status

NOT RENEWED

Business

First Name

MARTA P

Last Name

SPEAKMAN

Suffix

DDS

Business Name

MARTA P SPEAKMAN DDS

Original Issue Date

12/03/1998

Effective Date

12/03/1998

Expiration Date

09/30/2000

City

LIBERTYVILLE

State

Zip

60048

County

LAKE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/17/2005