CARLY MARIE MARTINEZ Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085003836

License Status

ACTIVE

Business

First Name

CARLY

Middle

MARIE

Last Name

MARTINEZ

Business Name

CARLY MARIE MARTINEZ

Original Issue Date

08/30/2010

Effective Date

02/28/2026

Expiration Date

03/01/2028

City

CHICAGO

State

Zip

60609

County

COOK

Ever Disciplined

LastModifiedDate

02/28/2026