GLADSTONE E MARTIN Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125021229

License Status

EXPIRED

Business

First Name

GLADSTONE E

Last Name

MARTIN

Business Name

GLADSTONE E MARTIN

Original Issue Date

06/09/1987

Effective Date

06/09/1987

Expiration Date

07/01/1990

City

CHICAGO

State

Zip

60649

County

COOK

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

09/22/2006