ALISSA MICHELLE MARTIN MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125051965

License Status

EXPIRED

Business

First Name

ALISSA

Middle

MICHELLE

Last Name

MARTIN

Suffix

Business Name

ALISSA MICHELLE MARTIN MD

Original Issue Date

06/19/2006

Effective Date

06/19/2006

Expiration Date

06/18/2009

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Pediatrics

Ever Disciplined

LastModifiedDate

07/15/2009