MARTIN M RENE Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****64

License Status

ACTIVE

Business

First Name

MARTIN

Middle

Last Name

RENE

Business Name

MARTIN M RENE

Original Issue Date

06/23/2005

Effective Date

06/20/2023

Expiration Date

07/31/2026

City

LIBERTYVILLE

State

Zip

60048

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/20/2023