JOSE S MARTINEZ MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****44

License Status

NOT RENEWED

Business

First Name

JOSE S

Last Name

MARTINEZ

Suffix

Business Name

JOSE S MARTINEZ MD

Original Issue Date

06/24/1988

Effective Date

06/24/1988

Expiration Date

07/31/1996

City

ROCKFORD

State

Zip

61103

County

WINNEBAGO

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006