STEPHEN JOSEPH MARTIN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****68

License Status

ACTIVE

Business

First Name

STEPHEN

Middle

JOSEPH

Last Name

MARTIN

Suffix

Business Name

STEPHEN JOSEPH MARTIN MD

Original Issue Date

10/26/1998

Effective Date

06/02/2023

Expiration Date

07/31/2026

City

ROCKFORD

State

Zip

61107

County

WINNEBAGO

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/02/2023