CHARLES P MARTELLO Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****78

License Status

ACTIVE

Business

First Name

CHARLES P

Last Name

MARTELLO

Business Name

CHARLES P MARTELLO

Original Issue Date

08/14/1986

Effective Date

08/26/2024

Expiration Date

09/30/2027

City

FRANKFORT

State

Zip

60423

County

WILL

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

08/26/2024