ROBERT I MARTIN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****37

License Status

NOT RENEWED

Business

First Name

ROBERT I

Last Name

MARTIN

Suffix

Business Name

ROBERT I MARTIN MD

Original Issue Date

01/01/1997

Effective Date

04/12/2011

Expiration Date

07/31/2014

City

HANNA CITY

State

Zip

61536

County

PEORIA

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/17/2014