MARY M MARTINO DPM - Podiatrist License in Illinois | # 016004178

MARY M MARTINO DPM

Business Entity

INACTIVE

License Type

Podiatrist

Description

LICENSED PODIATRIC PHYSICIAN

License Number

016004178

License Status

INACTIVE

Business

N

First Name

MARY

Middle

M

Last Name

MARTINO

Suffix

DPM

Business Name

MARY M MARTINO DPM

Original Issue Date

09/15/1987

Effective Date

01/25/2019

Expiration Date

01/31/2021

State

IL

Ever Disciplined

N

LastModifiedDate

11/08/2020