CLINT MATTHEW MARTIN DMD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****74

License Status

ACTIVE

Business

First Name

CLINT

Middle

MATTHEW

Last Name

MARTIN

Suffix

DMD

Business Name

CLINT MATTHEW MARTIN DMD

Original Issue Date

08/03/2020

Effective Date

05/02/2024

Expiration Date

09/30/2027

City

BRIMFIELD

State

Zip

61517

County

PEORIA

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/02/2024