TONY JOE DE 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

Title

First Name

TONY

Middle

JOE

Last Name

DE MARTINI

Business Name

TONY JOE DE MARTINI MD

Original Issue Date

08/21/1998

Effective Date

06/21/2017

Expiration Date

09/30/2020

City

DOWNERS GROVE

State

Zip

60515

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021