MARTIN L BLOCK 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

MARTIN L

Last Name

BLOCK

Suffix

Business Name

MARTIN L BLOCK MD

Original Issue Date

01/01/1997

Expiration Date

01/01/1997

City

RED BUD

State

Zip

62278

County

MONROE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006