ANGELA DESHAWN MARTIN MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125048502

License Status

CANCELLED

Business

First Name

ANGELA

Middle

DESHAWN

Last Name

MARTIN

Suffix

Business Name

ANGELA DESHAWN MARTIN MD

Original Issue Date

07/01/2007

Effective Date

07/01/2007

Expiration Date

06/30/2008

City

SILVIS

State

Zip

61282

County

ROCK ISLAND

Specialty/Qualifier

Anesthesiology

Ever Disciplined

LastModifiedDate

04/03/2007