ELIZABETH ANN MARTIN MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125064380

License Status

EXPIRED

Business

Title

First Name

ELIZABETH

Middle

ANN

Last Name

MARTIN

Business Name

ELIZABETH ANN MARTIN MD

Original Issue Date

07/01/2014

Effective Date

07/01/2014

Expiration Date

06/30/2017

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Ophthalmology

Ever Disciplined

LastModifiedDate

09/19/2017