BRANDON K MARTINEZ MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125052175

License Status

CANCELLED

Business

First Name

BRANDON

Middle

Last Name

MARTINEZ

Suffix

Business Name

BRANDON K MARTINEZ MD

Original Issue Date

08/23/2009

Effective Date

08/23/2009

Expiration Date

08/22/2010

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Diagnostic Radiology

Ever Disciplined

LastModifiedDate

05/28/2009