SAM MARTIN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036120573

License Status

NOT RENEWED

Business

First Name

SAM

Last Name

MARTIN

Suffix

Business Name

SAM MARTIN MD

Original Issue Date

04/14/2008

Effective Date

04/18/2011

Expiration Date

07/31/2014

City

BRENTWOOD

State

Zip

63144

Ever Disciplined

LastModifiedDate

11/17/2014

Case Number

2008000178

Action

Probation

Discipline Start Date

04/14/2008

Discipline End Date

04/12/2018

Discipline Reason

Issued and placed on probation for ten years after being disciplined in the state of Missouri.