KELLY A MARTENS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036130127

License Status

NOT RENEWED

Business

Title

First Name

KELLY

Middle

Last Name

MARTENS

Business Name

KELLY A MARTENS MD

Original Issue Date

04/18/2012

Effective Date

04/18/2012

Expiration Date

07/31/2014

City

CHICAGO

State

Zip

60611

County

COOK

Ever Disciplined

LastModifiedDate

11/17/2014