TAMARA ITZEL MARTINEZ MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125068119

License Status

EXPIRED

Business

Title

First Name

TAMARA

Middle

ITZEL

Last Name

MARTINEZ

Business Name

TAMARA ITZEL MARTINEZ MD

Original Issue Date

06/25/2016

Effective Date

06/25/2016

Expiration Date

06/24/2019

City

CHICAGO

State

Zip

60657

County

COOK

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

10/02/2019