MARTIN M CHALLENGER Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****89

License Status

ACTIVE

Business

First Name

MARTIN M

Last Name

CHALLENGER

Business Name

MARTIN M CHALLENGER

Original Issue Date

08/13/1996

Effective Date

06/30/2024

Expiration Date

09/30/2027

City

VERONA

State

Zip

53593

County

WISCONSIN

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/30/2024