AMY RENEE MARTIN DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****91

License Status

ACTIVE

Business

First Name

AMY

Middle

RENEE

Last Name

MARTIN

Suffix

DDS

Business Name

AMY RENEE MARTIN DDS

Original Issue Date

06/21/2004

Effective Date

08/15/2024

Expiration Date

09/30/2027

City

CHICAGO

State

Zip

60610

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/09/2025