KEVIN D MARTIN Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

LIMITED MEDICAL TEMPORARY PERMIT

License Number

130000889

License Status

EXPIRED

Business

First Name

KEVIN

Middle

Last Name

MARTIN

Business Name

KEVIN D MARTIN

Original Issue Date

01/02/2012

Effective Date

01/02/2012

Expiration Date

07/01/2012

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Orthopaedic Surgery

Ever Disciplined

LastModifiedDate

08/29/2012