TODD C MARTIN DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****68

License Status

ACTIVE

Business

First Name

TODD C

Last Name

MARTIN

Suffix

DDS

Business Name

TODD C MARTIN DDS

Original Issue Date

08/17/1992

Effective Date

07/12/2024

Expiration Date

09/30/2027

City

LAKE GENEVA

State

Zip

53147

County

WISCONSIN

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/12/2024