JONATHAN LUIS MARTINS MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125066606

License Status

CANCELLED

Business

Title

First Name

JONATHAN

Middle

LUIS

Last Name

MARTINS

Business Name

JONATHAN LUIS MARTINS MD

Original Issue Date

07/01/2015

Effective Date

07/01/2015

Expiration Date

06/30/2018

City

ROCKFORD

State

Zip

61104

County

WINNEBAGO

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

05/19/2015