ENRIQUE MARTINEZ MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****46

License Status

NOT RENEWED

Business

Title

First Name

ENRIQUE

Last Name

MARTINEZ

Business Name

ENRIQUE MARTINEZ MD

Original Issue Date

10/11/1990

Effective Date

08/19/2008

Expiration Date

07/31/2011

City

DOWNERS GROVE

State

Zip

60516

County

DUPAGE

Controlled Substance Schedule

II IV V

Ever Disciplined

LastModifiedDate

11/10/2011