LAURA MARIE MARTINEZ-AVERSANO DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****58

License Status

NOT RENEWED

Business

First Name

LAURA

Middle

MARIE

Last Name

MARTINEZ-AVERSANO

Suffix

DDS

Business Name

LAURA MARIE MARTINEZ-AVERSANO DDS

Original Issue Date

07/01/2002

Effective Date

06/07/2018

Expiration Date

01/31/2022

City

MANHATTAN

State

Zip

60442

County

WILL

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/09/2022