AUSTIN DAVID MARTIN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****03

License Status

ACTIVE

Business

Title

First Name

AUSTIN

Middle

DAVID

Last Name

MARTIN

Business Name

AUSTIN DAVID MARTIN MD

Original Issue Date

02/27/2018

Effective Date

05/04/2023

Expiration Date

07/31/2026

City

WENONA

State

Zip

61377

County

MARSHALL

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/10/2025