KEVIN DAVID MARTINEZ MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125070344

License Status

CANCELLED

Business

Title

First Name

KEVIN

Middle

DAVID

Last Name

MARTINEZ

Business Name

KEVIN DAVID MARTINEZ MD

Original Issue Date

06/26/2017

Effective Date

06/26/2017

Expiration Date

06/25/2020

City

BERWYN

State

Zip

60402

County

COOK

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

05/16/2017