EDMUNDO A MARTINEZ MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****90

License Status

ACTIVE

Business

First Name

EDMUNDO

Middle

Last Name

MARTINEZ

Suffix

Business Name

EDMUNDO A MARTINEZ MD

Original Issue Date

05/05/2020

Effective Date

04/26/2023

Expiration Date

07/31/2026

City

PEORIA

State

Zip

61615

County

PEORIA

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/26/2023