STEPHEN MYCHAEL 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

STEPHEN

Middle

MYCHAEL

Last Name

MARTIN

Business Name

STEPHEN MYCHAEL MARTIN DMD

Original Issue Date

06/12/2017

Effective Date

08/20/2024

Expiration Date

09/30/2027

City

WESTMONT

State

Zip

60559

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

08/20/2024