MARTINA VENDRAME MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****64

License Status

NOT RENEWED

Business

Title

First Name

MARTINA

Last Name

VENDRAME

Business Name

MARTINA VENDRAME MD

Original Issue Date

12/19/2011

Effective Date

12/19/2011

Expiration Date

07/31/2014

City

STERLING

State

Zip

61081

County

WHITESIDE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/17/2014