PAUL COLSTON MARTIN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****84

License Status

NOT RENEWED

Business

First Name

PAUL COLSTON

Last Name

MARTIN

Suffix

Business Name

PAUL COLSTON MARTIN MD

Original Issue Date

07/30/1996

Effective Date

07/30/1996

Expiration Date

07/31/1999

City

CHICAGO

State

Zip

60611

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020