MARTIN J BUCKINGHAM MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036079630

License Status

NOT RENEWED

Business

Title

First Name

MARTIN

Middle

Last Name

BUCKINGHAM

Business Name

MARTIN J BUCKINGHAM MD

Original Issue Date

12/28/1989

Effective Date

04/08/2014

Expiration Date

07/31/2017

City

ROCKFORD

State

Zip

61103

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

11/01/2017