REBEKAH LEIGH MARTIN MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****64

License Status

CANCELLED

Business

Title

First Name

REBEKAH

Middle

LEIGH

Last Name

MARTIN

Business Name

REBEKAH LEIGH MARTIN MD

Original Issue Date

01/07/2009

Effective Date

01/07/2009

Expiration Date

07/31/2011

City

ELMHURST

State

Zip

60126

County

DUPAGE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/07/2011