MARTHA MARIE EVANS MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****04

License Status

ACTIVE

Business

Title

First Name

MARTHA

Middle

MARIE

Last Name

EVANS

Business Name

MARTHA MARIE EVANS MD

Original Issue Date

09/19/2024

Effective Date

09/19/2024

Expiration Date

07/31/2026

City

DALLAS

State

Zip

75201

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/19/2024