JOHN ANTHONY MARTIN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036109451

License Status

NOT RENEWED

Business

First Name

JOHN

Middle

ANTHONY

Last Name

MARTIN

Suffix

Business Name

JOHN ANTHONY MARTIN MD

Original Issue Date

06/17/2003

Effective Date

08/01/2017

Expiration Date

09/30/2020

City

CHICAGO

State

Zip

60610

County

COOK

Ever Disciplined

LastModifiedDate

01/14/2021