ENRIQUE MARTINEZ MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036049582

License Status

INACTIVE

Business

First Name

ENRIQUE

Last Name

MARTINEZ

Suffix

Business Name

ENRIQUE MARTINEZ MD

Original Issue Date

08/28/1974

Effective Date

08/28/1974

Expiration Date

07/31/1990

City

ROCKFORD

State

Zip

61107

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

09/20/2006