TREVOR R MARTIN DO Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125053253

License Status

CANCELLED

Business

First Name

TREVOR

Middle

Last Name

MARTIN

Suffix

Business Name

TREVOR R MARTIN DO

Original Issue Date

07/01/2009

Effective Date

07/01/2009

Expiration Date

06/30/2010

City

NORMAL

State

Zip

61761

County

MCLEAN

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

05/28/2009