SHERYEL D MARTIN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****94

License Status

NOT RENEWED

Business

First Name

SHERYEL

Middle

Last Name

MARTIN

Suffix

Business Name

SHERYEL D MARTIN MD

Original Issue Date

10/29/1999

Effective Date

10/29/1999

Expiration Date

07/31/2002

City

PEORIA

State

Zip

61614

County

PEORIA

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006