KATHRYN NELSON MARTIN DO Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125041209

License Status

CANCELLED

Business

First Name

KATHRYN

Middle

NELSON

Last Name

MARTIN

Suffix

Business Name

KATHRYN NELSON MARTIN DO

Original Issue Date

06/28/2000

Effective Date

06/28/2000

Expiration Date

06/27/2003

City

PARK RIDGE

State

Zip

60068

County

COOK

Specialty/Qualifier

Pediatrics

Ever Disciplined

LastModifiedDate

09/22/2006