SCOTT LANIER MARTIN DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****20

License Status

ACTIVE

Business

First Name

SCOTT

Middle

LANIER

Last Name

MARTIN

Suffix

Business Name

SCOTT LANIER MARTIN DO

Original Issue Date

04/20/2011

Effective Date

05/10/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60628

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/10/2023