ALICIA S MARTIN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036069799

License Status

NOT RENEWED

Business

First Name

ALICIA S

Last Name

MARTIN

Suffix

Business Name

ALICIA S MARTIN MD

Original Issue Date

11/07/1984

Effective Date

05/14/2020

Expiration Date

07/31/2023

City

ST CHARLES

State

Zip

60174

County

KANE

Ever Disciplined

LastModifiedDate

11/30/2023