ADRIAN R MARTIN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****04

License Status

NOT RENEWED

Business

First Name

ADRIAN R

Last Name

MARTIN

Suffix

Business Name

ADRIAN R MARTIN MD

Original Issue Date

12/10/1985

Effective Date

07/29/2008

Expiration Date

07/31/2011

City

CHICAGO

State

Zip

60657

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/10/2011