WAYNE 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

WAYNE S

Last Name

MARTIN

Suffix

Business Name

WAYNE S MARTIN MD

Original Issue Date

06/24/1983

Effective Date

06/24/1983

Expiration Date

07/31/1987

City

CHICAGO

State

Zip

60625

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006