ROBERT W MARTIN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****31

License Status

NOT RENEWED

Business

First Name

ROBERT W

Last Name

MARTIN

Suffix

Business Name

ROBERT W MARTIN MD

Original Issue Date

06/13/1983

Effective Date

06/13/1983

Expiration Date

07/31/1990

City

HAVANA

State

Zip

62644

County

MASON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006