DENNIS LEE MARTIN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036056030

License Status

NOT RENEWED

Business

First Name

DENNIS LEE

Last Name

MARTIN

Suffix

Business Name

DENNIS LEE MARTIN MD

Original Issue Date

11/14/1977

Effective Date

11/14/1977

City

CHICAGO RIDGE

State

Zip

60415

County

COOK

Ever Disciplined

LastModifiedDate

09/20/2006