MARK J MARTONE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****79

License Status

NOT RENEWED

Business

First Name

MARK J

Last Name

MARTONE

Suffix

Business Name

MARK J MARTONE MD

Original Issue Date

12/29/1992

Effective Date

12/29/1992

Expiration Date

07/31/1996

City

GREAT LAKES

State

Zip

60088

County

LAKE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006