JAIME A MARTINEZ MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****71

License Status

ACTIVE

Business

Title

First Name

JAIME

Middle

Last Name

MARTINEZ

Business Name

JAIME A MARTINEZ MD

Original Issue Date

10/26/2012

Effective Date

05/19/2023

Expiration Date

07/31/2026

City

CHARLESTON

State

Zip

61920

County

COLES

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/19/2023