BRENDA LEE MARTIN DMD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****49

License Status

ACTIVE

Business

Title

DMD

First Name

BRENDA

Middle

LEE

Last Name

MARTIN

Business Name

BRENDA LEE MARTIN DMD

Original Issue Date

05/31/2016

Effective Date

09/30/2024

Expiration Date

09/30/2027

City

CHICAGO

State

Zip

60647

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/30/2024