ESTELLA FAVIOLA MARTINEZ MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****35

License Status

ACTIVE

Business

Title

First Name

ESTELLA

Middle

FAVIOLA

Last Name

MARTINEZ

Business Name

ESTELLA FAVIOLA MARTINEZ MD

Original Issue Date

11/27/2006

Effective Date

07/13/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60608

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/13/2023