MARCEL MARTIN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036075015

License Status

NOT RENEWED

Business

First Name

MARCEL

Last Name

MARTIN

Suffix

Business Name

MARCEL MARTIN MD

Original Issue Date

05/14/1987

Effective Date

05/14/1987

Expiration Date

07/31/2005

City

DERBY LINE

State

Zip

05830

County

VERMONT

Ever Disciplined

LastModifiedDate

07/19/2010

Case Number

2003003884

Action

Revocation

Discipline Start Date

05/26/2004