BRIAN MARTIS Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036097807

License Status

NOT RENEWED

Business

First Name

BRIAN

Last Name

MARTIS

Business Name

BRIAN MARTIS

Original Issue Date

05/08/1998

Effective Date

05/08/1998

Expiration Date

07/31/2005

City

CHICAGO

State

Zip

60612

County

COOK

Ever Disciplined

LastModifiedDate

10/09/2006