DANIEL B MARTINEZ MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****18

License Status

NOT RENEWED

Business

Title

First Name

DANIEL B

Last Name

MARTINEZ

Business Name

DANIEL B MARTINEZ MD

Original Issue Date

10/26/2000

Effective Date

10/26/2000

Expiration Date

07/31/2002

City

LOMBARD

State

Zip

60148

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020