LAURA M MARTIN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036079179

License Status

NOT RENEWED

Business

First Name

LAURA M

Last Name

MARTIN

Suffix

Business Name

LAURA M MARTIN MD

Original Issue Date

07/11/1989

Effective Date

07/11/1989

Expiration Date

07/31/1999

City

ROCKFORD

State

Zip

61114

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

09/20/2006