LISA A MARTIN Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036102079

License Status

ACTIVE

Business

First Name

LISA

Middle

Last Name

MARTIN

Business Name

LISA A MARTIN

Original Issue Date

03/07/2000

Effective Date

06/28/2023

Expiration Date

07/31/2026

City

NAPERVILLE

State

Zip

60563

County

DUPAGE

Ever Disciplined

LastModifiedDate

06/28/2023