KEVIN M MARTIN DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036138053

License Status

ACTIVE

Business

Title

First Name

KEVIN

Middle

Last Name

MARTIN

Business Name

KEVIN M MARTIN DO

Original Issue Date

05/21/2015

Effective Date

05/06/2023

Expiration Date

07/31/2026

City

CARBONDALE

State

Zip

62901

County

JACKSON

Ever Disciplined

LastModifiedDate

05/06/2023