ALICIA A MARTIN DO Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125050867

License Status

CANCELLED

Business

First Name

ALICIA

Middle

Last Name

MARTIN

Suffix

Business Name

ALICIA A MARTIN DO

Original Issue Date

07/01/2006

Effective Date

07/01/2006

Expiration Date

06/30/2009

City

AURORA

State

Zip

60504

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

09/22/2006