ALISSA MICHELLE MARTIN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036121975

License Status

NOT RENEWED

Business

First Name

ALISSA

Middle

MICHELLE

Last Name

MARTIN

Suffix

Business Name

ALISSA MICHELLE MARTIN MD

Original Issue Date

09/19/2008

Effective Date

07/19/2011

Expiration Date

07/31/2014

City

CHICAGO

State

Zip

60657

County

COOK

Ever Disciplined

LastModifiedDate

11/17/2014