ANTHONY JOSEPH MARTINO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****96

License Status

ACTIVE

Business

First Name

ANTHONY

Middle

JOSEPH

Last Name

MARTINO

Business Name

ANTHONY JOSEPH MARTINO

Original Issue Date

06/01/2004

Effective Date

06/23/2023

Expiration Date

07/31/2026

City

MELROSE PARK

State

Zip

60160

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/23/2023