EDMUNDO A MARTINEZ MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125062639

License Status

CANCELLED

Business

First Name

EDMUNDO

Middle

Last Name

MARTINEZ

Suffix

Business Name

EDMUNDO A MARTINEZ MD

Original Issue Date

07/01/2013

Effective Date

07/01/2013

Expiration Date

06/30/2016

City

PEORIA

State

Zip

61637

Specialty/Qualifier

Pediatrics

Ever Disciplined

LastModifiedDate

03/24/2014