ENRIQUE MARTINEZ MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****92

License Status

NOT RENEWED

Business

Title

First Name

ENRIQUE

Last Name

MARTINEZ

Business Name

ENRIQUE MARTINEZ MD

Original Issue Date

09/13/2011

Effective Date

09/13/2011

Expiration Date

07/31/2014

City

CHICAGO

State

Zip

60612

County

COOK

Controlled Substance Schedule

II IV V

Ever Disciplined

LastModifiedDate

11/17/2014