ENRICO L MARTIN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036107290

License Status

NOT RENEWED

Business

First Name

ENRICO

Middle

Last Name

MARTIN

Suffix

Business Name

ENRICO L MARTIN MD

Original Issue Date

06/28/2002

Effective Date

04/12/2011

Expiration Date

07/31/2014

City

WEST DES MOINES

State

Zip

50266

County

IOWA

Ever Disciplined

LastModifiedDate

11/17/2014