RICHARD MARTINOFF Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****28

License Status

NOT RENEWED

Business

First Name

RICHARD

Last Name

MARTINOFF

Business Name

RICHARD MARTINOFF

Original Issue Date

08/29/2003

Effective Date

08/29/2003

Expiration Date

07/31/2005

City

SKOKIE

State

Zip

60076

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006