ANTONIO EDWARDO MARTIN MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125028130

License Status

EXPIRED

Business

First Name

ANTONIO

Middle

EDWARDO

Last Name

MARTIN

Suffix

Business Name

ANTONIO EDWARDO MARTIN MD

Original Issue Date

05/15/1992

Effective Date

05/15/1992

Expiration Date

06/30/1995

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

General Surgery

Ever Disciplined

LastModifiedDate

09/22/2006