DON T MARTINEZ JR Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****35

License Status

NOT RENEWED

Business

First Name

DON

Middle

Last Name

MARTINEZ

Suffix

Business Name

DON T MARTINEZ JR

Original Issue Date

12/10/2007

Effective Date

01/04/2022

Expiration Date

03/01/2024

City

OLYMPIA FIELDS

State

Zip

60461

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/05/2025