DAVID ROBERT MARTELL MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036101077

License Status

NOT RENEWED

Business

First Name

DAVID

Middle

ROBERT

Last Name

MARTELL

Suffix

Business Name

DAVID ROBERT MARTELL MD

Original Issue Date

08/20/1999

Effective Date

08/20/1999

Expiration Date

07/31/2005

City

SULLIVAN

State

Zip

61951

County

MOULTRIE

Ever Disciplined

LastModifiedDate

01/22/2016