PERRY MYLES MARTIN MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125053712

License Status

EXPIRED

Business

Title

First Name

PERRY

Middle

MYLES

Last Name

MARTIN

Business Name

PERRY MYLES MARTIN MD

Original Issue Date

07/23/2007

Effective Date

07/23/2007

Expiration Date

07/22/2010

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

08/05/2010