MANUEL G MARTINEZ MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****32

License Status

NOT RENEWED

Business

First Name

MANUEL G

Last Name

MARTINEZ

Suffix

Business Name

MANUEL G MARTINEZ MD

Original Issue Date

04/18/1986

Effective Date

04/18/1986

Expiration Date

07/31/1987

City

BLOOMINGTON

State

Zip

61701

County

MCLEAN

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006