ROBERT I MARTIN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****38

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

Expiration Date

07/31/1993

City

PEORIA

State

Zip

61639

County

PEORIA

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/07/2011