THOMAS L MARTIN DO Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125040438

License Status

CANCELLED

Business

First Name

THOMAS

Middle

Last Name

MARTIN

Suffix

Business Name

THOMAS L MARTIN DO

Original Issue Date

07/23/1999

Effective Date

07/23/1999

Expiration Date

07/22/2002

City

PARK RIDGE

State

Zip

60068

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006