JOHN O MARTIN JR MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****56

License Status

NOT RENEWED

Business

First Name

JOHN

Middle

Last Name

MARTIN

Suffix

JR MD

Business Name

JOHN O MARTIN JR MD

Original Issue Date

03/13/2000

Effective Date

04/11/2011

Expiration Date

07/31/2014

City

PEORIA

State

Zip

61614

County

PEORIA

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/17/2014