RITA M MARTIN Physician Assistant License verification

Business Entity

INOPERATIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****15

License Status

INOPERATIVE

Business

First Name

RITA

Middle

Last Name

MARTIN

Business Name

RITA M MARTIN

Original Issue Date

05/21/2001

Effective Date

01/30/2020

Expiration Date

03/01/2022

City

QUINCY

State

Zip

62305

County

ADAMS

Ever Disciplined

LastModifiedDate

01/03/2022