KATHERINE E MARTIN Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****56

License Status

NOT RENEWED

Business

First Name

KATHERINE E

Last Name

MARTIN

Business Name

KATHERINE E MARTIN

Original Issue Date

08/23/1991

Effective Date

08/23/1991

Expiration Date

09/30/1994

City

CHICAGO

State

Zip

60647

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/13/2005