JAMES RICHARD MARTELL Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****49

License Status

ACTIVE

Business

First Name

JAMES RICHARD

Last Name

MARTELL

Business Name

JAMES RICHARD MARTELL

Original Issue Date

10/20/1982

Effective Date

09/12/2024

Expiration Date

09/30/2027

City

BOURBONNAIS

State

Zip

60914

County

KANKAKEE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/12/2024