COURTNEY ANNE MARTUSIEWICZ DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****93

License Status

NOT RENEWED

Business

First Name

COURTNEY

Middle

ANNE

Last Name

MARTUSIEWICZ

Suffix

DDS

Business Name

COURTNEY ANNE MARTUSIEWICZ DDS

Original Issue Date

06/04/2012

Effective Date

09/17/2015

Expiration Date

09/30/2018

City

CHICAGO

State

Zip

60654

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/31/2018