REBECCA M MARTIN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****99

License Status

NOT RENEWED

Business

First Name

REBECCA

Middle

Last Name

MARTIN

Suffix

Business Name

REBECCA M MARTIN MD

Original Issue Date

05/17/1983

Effective Date

05/17/1983

Expiration Date

07/31/1990

City

MCHENRY

State

Zip

60050

County

MCHENRY

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006