CHRISTOPHER SEAN EDWARD MARTIN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****30

License Status

NOT RENEWED

Business

Title

First Name

CHRISTOPHER

Middle

SEAN EDWARD

Last Name

MARTIN

Business Name

CHRISTOPHER SEAN EDWARD MARTIN MD

Original Issue Date

06/09/2009

Effective Date

04/26/2011

Expiration Date

07/31/2014

City

MACOMB

State

Zip

61455

County

MCDONOUGH

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/12/2017