MARTIN MINER MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036132218

License Status

NOT RENEWED

Business

Title

First Name

MARTIN

Last Name

MINER

Business Name

MARTIN MINER MD

Original Issue Date

04/02/2013

Effective Date

10/05/2021

Expiration Date

07/31/2023

City

PROVIDENCE

State

Zip

02906

Ever Disciplined

LastModifiedDate

11/30/2023