MATTHEW J MARTIN Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085002515

License Status

NOT RENEWED

Business

First Name

MATTHEW

Middle

Last Name

MARTIN

Business Name

MATTHEW J MARTIN

Original Issue Date

08/01/2005

Effective Date

01/29/2014

Expiration Date

03/01/2016

City

CHICAGO

State

Zip

60622

County

COOK

Ever Disciplined

LastModifiedDate

04/25/2016