MARY C MARTINI MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****07

License Status

NOT RENEWED

Business

First Name

MARY

Middle

Last Name

MARTINI

Suffix

Business Name

MARY C MARTINI MD

Original Issue Date

10/07/2002

Effective Date

05/08/2014

Expiration Date

07/31/2017

City

CHICAGO

State

Zip

60611

County

COOK

Ever Disciplined

LastModifiedDate

04/05/2020