ALFRED J MARTIN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****28

License Status

ACTIVE

Business

First Name

ALFRED

Middle

Last Name

MARTIN

Suffix

Business Name

ALFRED J MARTIN MD

Original Issue Date

09/28/1998

Effective Date

07/24/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60660

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/24/2023