ANGELA DESHAWN MARTIN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****98

License Status

ACTIVE

Business

First Name

ANGELA

Middle

DESHAWN

Last Name

MARTIN

Suffix

Business Name

ANGELA DESHAWN MARTIN MD

Original Issue Date

05/20/2008

Effective Date

06/27/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60605

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/27/2023