KATHERINE MARTIN MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125078214

License Status

CANCELLED

Business

Title

First Name

KATHERINE

Last Name

MARTIN

Business Name

KATHERINE MARTIN MD

Original Issue Date

06/23/2021

Effective Date

06/23/2021

Expiration Date

06/22/2024

City

OAK PARK

State

Zip

60302

County

COOK

Specialty/Qualifier

Pediatrics

Ever Disciplined

LastModifiedDate

05/14/2021