DAVID ROBERT MARTELL MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****60

License Status

NOT RENEWED

Business

First Name

DAVID

Middle

ROBERT

Last Name

MARTELL

Suffix

Business Name

DAVID ROBERT MARTELL MD

Original Issue Date

11/02/1999

Effective Date

11/02/1999

Expiration Date

07/31/2005

City

SULLIVAN

State

Zip

61951

County

MOULTRIE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006