JONGJIN ANNE MARTIN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036139490

License Status

ACTIVE

Business

First Name

JONGJIN

Middle

ANNE

Last Name

MARTIN

Suffix

Business Name

JONGJIN ANNE MARTIN MD

Original Issue Date

12/14/2015

Effective Date

07/25/2023

Expiration Date

07/31/2026

City

SPRINGFIELD

State

Zip

62702

County

SANGAMON

Ever Disciplined

LastModifiedDate

07/25/2023