MARY WADE MARTIN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****65

License Status

ACTIVE

Business

Title

First Name

MARY

Middle

WADE

Last Name

MARTIN

Business Name

MARY WADE MARTIN MD

Original Issue Date

03/27/2020

Effective Date

07/12/2023

Expiration Date

07/31/2026

City

ADAIR

State

Zip

74330

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/12/2023