ERNESTO L MARTIN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036088582

License Status

NOT RENEWED

Business

First Name

ERNESTO

Middle

Last Name

MARTIN

Suffix

Business Name

ERNESTO L MARTIN MD

Original Issue Date

06/17/1994

Effective Date

07/31/2006

Expiration Date

07/31/2008

City

ROCKFORD

State

Zip

61108

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

01/31/2008

Case Number

2007009767

Action

Summary Suspension

Discipline Start Date

01/16/2008

Discipline End Date

05/16/2008