ESTELLA FAVIOLA MARTINEZ MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125046805

License Status

NOT RENEWED

Business

Title

First Name

ESTELLA

Middle

FAVIOLA

Last Name

MARTINEZ

Business Name

ESTELLA FAVIOLA MARTINEZ MD

Original Issue Date

07/01/2003

Effective Date

07/01/2003

Expiration Date

10/31/2006

City

CHICAGO

State

Zip

60647

County

COOK

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

01/23/2007