KATHERINE E MARTIN Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****57

License Status

NOT RENEWED

Business

First Name

KATHERINE E

Last Name

MARTIN

Business Name

KATHERINE E MARTIN

Original Issue Date

05/14/1992

Effective Date

05/14/1992

Expiration Date

09/30/1992

City

CHICAGO

State

Zip

60623

County

COOK

Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

10/13/2005