TERRI R MARTIN MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125027042

License Status

EXPIRED

Business

First Name

TERRI R

Last Name

MARTIN

Suffix

Business Name

TERRI R MARTIN MD

Original Issue Date

06/03/1991

Effective Date

06/03/1991

Expiration Date

06/22/1994

City

CHICAGO

State

Zip

60637

County

COOK

Specialty/Qualifier

General Surgery

Ever Disciplined

LastModifiedDate

09/22/2006