ALEXANDRA ELENA MARTELLA DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****23

License Status

NOT RENEWED

Business

Title

DDS

First Name

ALEXANDRA

Middle

ELENA

Last Name

MARTELLA

Business Name

ALEXANDRA ELENA MARTELLA DDS

Original Issue Date

07/24/2014

Effective Date

06/17/2015

Expiration Date

09/30/2018

City

BEVERLY HILLS

State

Zip

48025

Specialty/Qualifier

PHARM DISTRIBUTOR

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/31/2018