MARTIN ALLEN URBAN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****73

License Status

ACTIVE

Business

Title

First Name

MARTIN

Middle

ALLEN

Last Name

URBAN

Business Name

MARTIN ALLEN URBAN MD

Original Issue Date

03/28/1988

Effective Date

05/18/2023

Expiration Date

07/31/2026

City

ROCKFORD

State

Zip

61114

County

WINNEBAGO

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/18/2023