JOHN ANTHONY MARTIN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****71

License Status

NOT RENEWED

Business

First Name

JOHN

Middle

ANTHONY

Last Name

MARTIN

Suffix

Business Name

JOHN ANTHONY MARTIN MD

Original Issue Date

08/25/2003

Effective Date

08/01/2017

Expiration Date

09/30/2020

City

CHICAGO

State

Zip

60610

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021