PATRICIA M MARTIN Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****12

License Status

ACTIVE

Business

First Name

PATRICIA M

Last Name

MARTIN

Business Name

PATRICIA M MARTIN

Original Issue Date

01/01/1997

Effective Date

06/02/2023

Expiration Date

07/31/2026

City

WARWICK

State

Zip

02893

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/02/2023