ERIC DAVID MARTIN DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036161416

License Status

ACTIVE

Business

Title

First Name

ERIC

Middle

DAVID

Last Name

MARTIN

Business Name

ERIC DAVID MARTIN DO

Original Issue Date

07/13/2022

Effective Date

06/12/2023

Expiration Date

07/31/2026

City

DUNLAP

State

Zip

61525

County

PEORIA

Ever Disciplined

LastModifiedDate

06/12/2023