KURT R MARTIN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036093490

License Status

ACTIVE

Business

First Name

KURT

Middle

Last Name

MARTIN

Suffix

Business Name

KURT R MARTIN MD

Original Issue Date

07/11/1996

Effective Date

04/12/2023

Expiration Date

07/31/2026

City

CARBONDALE

State

Zip

62901

County

JACKSON

Ever Disciplined

LastModifiedDate

04/12/2023