TONY JOE DE MARTINI MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125034081

License Status

EXPIRED

Business

Title

First Name

TONY

Middle

JOE

Last Name

DE MARTINI

Business Name

TONY JOE DE MARTINI MD

Original Issue Date

05/02/1996

Effective Date

05/02/1996

Expiration Date

06/21/1999

City

MAYWOOD

State

Zip

61053

County

CARROLL

Ever Disciplined

LastModifiedDate

09/22/2006