MARTIN JOSEPH ANERINO DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****60

License Status

NOT RENEWED

Business

First Name

MARTIN

Middle

JOSEPH

Last Name

ANERINO

Suffix

DDS

Business Name

MARTIN JOSEPH ANERINO DDS

Original Issue Date

11/12/2010

Effective Date

07/31/2012

Expiration Date

09/30/2015

City

WAUKEGAN

State

Zip

60085

County

LAKE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III

Ever Disciplined

LastModifiedDate

02/08/2016