Medical Doctor

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

33*****96

NOT RENEWED

N

MD

TAMIKA

LATRICE

MARTIN

TAMIKA LATRICE MARTIN MD

08/21/2018

07/24/2020

07/31/2023

HAZEL CREST

IL

60429

COOK

PRACTITIONER

II III IV V

N

11/30/2023