ANITA R MARTIN MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036086997

License Status

INACTIVE

Business

First Name

ANITA R

Last Name

MARTIN

Suffix

Business Name

ANITA R MARTIN MD

Original Issue Date

07/28/1993

Effective Date

10/01/2020

Expiration Date

07/31/2023

City

YORKTOWN

State

Zip

47396

County

INDIANA

Ever Disciplined

LastModifiedDate

08/01/2023