JOHN B MARTIN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****75

License Status

NOT RENEWED

Business

First Name

JOHN B

Last Name

MARTIN

Suffix

Business Name

JOHN B MARTIN MD

Original Issue Date

02/24/1988

Effective Date

02/24/1988

Expiration Date

07/31/1996

City

COLLINSVILLE

State

Zip

62234

County

MADISON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006