LETICIA MARTINEZ DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****49

License Status

NOT RENEWED

Business

Title

DMD

First Name

LETICIA

Last Name

MARTINEZ

Business Name

LETICIA MARTINEZ DMD

Original Issue Date

07/17/2006

Effective Date

07/17/2006

Expiration Date

09/30/2009

City

BURBANK

State

Zip

60459

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/04/2009