MARTINA A DELAURENTIS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****61

License Status

NOT RENEWED

Business

First Name

MARTINA A

Last Name

DELAURENTIS

Business Name

MARTINA A DELAURENTIS

Original Issue Date

09/29/1994

Effective Date

08/23/2022

Expiration Date

09/30/2024

City

FRANKFORT

State

Zip

60423

County

WILL

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/04/2025