MARTIN GERALD FORTIER MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****17

License Status

NOT RENEWED

Business

First Name

MARTIN GERALD

Last Name

FORTIER

Suffix

Business Name

MARTIN GERALD FORTIER MD

Original Issue Date

08/30/1999

Effective Date

08/30/1999

Expiration Date

07/31/2002

City

MORRIS

State

Zip

60450

County

GRUNDY

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020