PATRICK SHAWN MARTIN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****87

License Status

ACTIVE

Business

Title

First Name

PATRICK

Middle

SHAWN

Last Name

MARTIN

Business Name

PATRICK SHAWN MARTIN MD

Original Issue Date

09/18/2020

Effective Date

07/11/2023

Expiration Date

07/31/2026

City

THOMPSONS STATION

State

Zip

37179

County

WILLIAMSON

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/11/2023