CARLOS JAMES MARTINEZ Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085001631

License Status

NOT RENEWED

Business

First Name

CARLOS

Middle

JAMES

Last Name

MARTINEZ

Business Name

CARLOS JAMES MARTINEZ

Original Issue Date

08/28/2001

Effective Date

08/28/2001

Expiration Date

03/01/2008

City

CHICAGO

State

Zip

60639

County

COOK

Ever Disciplined

LastModifiedDate

04/23/2008