PAUL COLSTON MARTIN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****82

License Status

ACTIVE

Business

First Name

PAUL COLSTON

Last Name

MARTIN

Suffix

Business Name

PAUL COLSTON MARTIN MD

Original Issue Date

08/29/1994

Effective Date

04/08/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60642

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/08/2023