KURT R MARTIN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****01

License Status

NOT RENEWED

Business

First Name

KURT

Middle

Last Name

MARTIN

Suffix

Business Name

KURT R MARTIN MD

Original Issue Date

08/16/1999

Effective Date

08/16/1999

Expiration Date

07/31/2002

City

MARION

State

Zip

62959

County

WILLIAMSON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020