TOMMY DEAN MARTIN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036040120

License Status

ACTIVE

Business

First Name

TOMMY DEAN

Last Name

MARTIN

Suffix

Business Name

TOMMY DEAN MARTIN MD

Original Issue Date

11/22/1965

Effective Date

08/31/2023

Expiration Date

07/31/2026

City

CENTRALIA

State

Zip

62801

County

MARION

Ever Disciplined

LastModifiedDate

08/31/2023