CLIFFORD GLENN MARTIN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****08

License Status

ACTIVE

Business

Title

First Name

CLIFFORD

Middle

GLENN

Last Name

MARTIN

Business Name

CLIFFORD GLENN MARTIN MD

Original Issue Date

05/13/2016

Effective Date

04/12/2023

Expiration Date

07/31/2026

City

GALESBURG

State

Zip

61401

County

INDIANA

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/12/2023