ANTONIO EDWARDO MARTIN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036101414

License Status

NOT RENEWED

Business

First Name

ANTONIO

Middle

EDWARDO

Last Name

MARTIN

Suffix

Business Name

ANTONIO EDWARDO MARTIN MD

Original Issue Date

10/05/1999

Effective Date

10/05/1999

Expiration Date

07/31/2002

City

AUSTIN

State

Zip

78704

County

TEXAS

Ever Disciplined

LastModifiedDate

10/09/2006