SCOTT D MARTIN DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****51

License Status

ACTIVE

Business

First Name

SCOTT D

Last Name

MARTIN

Suffix

DDS

Business Name

SCOTT D MARTIN DDS

Original Issue Date

11/09/1992

Effective Date

05/12/2024

Expiration Date

09/30/2027

City

CHARLESTON

State

Zip

61920

County

COLES

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/12/2024