KRAIG L MARTIN Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085003102

License Status

NOT RENEWED

Business

First Name

KRAIG

Middle

Last Name

MARTIN

Business Name

KRAIG L MARTIN

Original Issue Date

10/11/2007

Effective Date

12/14/2007

Expiration Date

03/01/2010

City

CHICAGO

State

Zip

60653

County

COOK

Ever Disciplined

LastModifiedDate

04/01/2010