RICHARD ALAN MARTIN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****16

License Status

NOT RENEWED

Business

First Name

RICHARD ALAN

Last Name

MARTIN

Suffix

Business Name

RICHARD ALAN MARTIN MD

Original Issue Date

01/01/1997

Expiration Date

09/01/1981

City

KANKAKEE

State

Zip

60901

County

KANKAKEE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006