DANIEL R MARTIN MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036069948

License Status

INACTIVE

Business

First Name

DANIEL R

Last Name

MARTIN

Suffix

Business Name

DANIEL R MARTIN MD

Original Issue Date

12/10/1984

Effective Date

12/10/1984

Expiration Date

07/31/1987

City

WAUWATOSA

State

Zip

53226

County

WISCONSIN

Ever Disciplined

LastModifiedDate

09/20/2006