MARY LOUISE MARTIN MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125049537

License Status

EXPIRED

Business

First Name

MARY

Middle

LOUISE

Last Name

MARTIN

Suffix

Business Name

MARY LOUISE MARTIN MD

Original Issue Date

07/01/2005

Effective Date

07/01/2005

Expiration Date

06/30/2006

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006