GREGORY L MARTINDILL Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****44

License Status

NOT RENEWED

Business

First Name

GREGORY

Middle

Last Name

MARTINDILL

Business Name

GREGORY L MARTINDILL

Original Issue Date

02/22/2001

Effective Date

02/11/2022

Expiration Date

03/01/2024

City

CHAMPAIGN

State

Zip

61822

County

CHAMPAIGN

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/05/2025