EMILY S MARTIN DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****96

License Status

NOT RENEWED

Business

Title

DMD

First Name

EMILY

Middle

Last Name

MARTIN

Business Name

EMILY S MARTIN DMD

Original Issue Date

08/21/2012

Effective Date

09/30/2021

Expiration Date

09/30/2024

City

SAINT LOUIS

State

Zip

63141

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/04/2025