ADRIAN MARTIN CODEL DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****76

License Status

NOT RENEWED

Business

First Name

ADRIAN

Middle

MARTIN

Last Name

CODEL

Suffix

DDS

Business Name

ADRIAN MARTIN CODEL DDS

Original Issue Date

07/12/2002

Effective Date

08/25/2009

Expiration Date

09/30/2012

City

CHICAGO

State

Zip

60657

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/14/2012