MARTIN GERALD FORTIER MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036062647

License Status

NOT RENEWED

Business

First Name

MARTIN GERALD

Last Name

FORTIER

Suffix

Business Name

MARTIN GERALD FORTIER MD

Original Issue Date

07/27/1981

Effective Date

04/12/2017

Expiration Date

09/30/2020

City

FOREST PARK

State

Zip

60130

County

COOK

Ever Disciplined

LastModifiedDate

01/14/2021