DENNIS MICHAEL MARTINEZ DO Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125067360

License Status

CANCELLED

Business

Title

First Name

DENNIS

Middle

MICHAEL

Last Name

MARTINEZ

Business Name

DENNIS MICHAEL MARTINEZ DO

Original Issue Date

06/24/2015

Effective Date

06/24/2015

Expiration Date

06/23/2018

City

OAK LAWN

State

Zip

60453

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

06/04/2015