ALICIA S MARTIN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****48

License Status

NOT RENEWED

Business

First Name

ALICIA S

Last Name

MARTIN

Suffix

Business Name

ALICIA S MARTIN MD

Original Issue Date

04/17/1985

Effective Date

06/02/2014

Expiration Date

07/31/2017

City

ELGIN

State

Zip

60123

County

KANE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020