DAVID J MARTIN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036101094

License Status

NOT RENEWED

Business

First Name

DAVID

Middle

Last Name

MARTIN

Suffix

Business Name

DAVID J MARTIN MD

Original Issue Date

08/24/1999

Effective Date

08/24/1999

Expiration Date

07/31/2005

City

WESTCHESTER

State

Zip

60154

County

COOK

Ever Disciplined

LastModifiedDate

10/09/2006