CARMEN A ORELLANA MARTINEZ MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125062232

License Status

CANCELLED

Business

Title

First Name

CARMEN

Middle

Last Name

ORELLANA MARTINEZ

Business Name

CARMEN A ORELLANA MARTINEZ MD

Original Issue Date

06/27/2012

Effective Date

06/27/2012

Expiration Date

06/26/2015

City

SPRINGFIELD

State

Zip

62701

County

SANGAMON

Specialty/Qualifier

Psychiatry

Ever Disciplined

LastModifiedDate

05/05/2015