TAMIKA LATRICE MARTIN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036147278

License Status

NOT RENEWED

Business

Title

First Name

TAMIKA

Middle

LATRICE

Last Name

MARTIN

Business Name

TAMIKA LATRICE MARTIN MD

Original Issue Date

08/21/2018

Effective Date

07/24/2020

Expiration Date

07/31/2023

City

HAZEL CREST

State

Zip

60429

County

COOK

Ever Disciplined

LastModifiedDate

11/30/2023