TIMOTHY JOSEPH MARTIN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036095977

License Status

NOT RENEWED

Business

First Name

TIMOTHY JOSEPH

Last Name

MARTIN

Suffix

Business Name

TIMOTHY JOSEPH MARTIN MD

Original Issue Date

07/08/1997

Effective Date

07/31/2006

Expiration Date

07/31/2008

City

ROLLA

State

Zip

65402

County

MISSOURI

Ever Disciplined

LastModifiedDate

11/06/2008