CARLOS JAMES MARTINEZ Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****48

License Status

NOT RENEWED

Business

First Name

CARLOS

Middle

JAMES

Last Name

MARTINEZ

Business Name

CARLOS JAMES MARTINEZ

Original Issue Date

08/15/2005

Effective Date

08/15/2005

Expiration Date

03/01/2008

City

NAPERVILLE

State

Zip

60563

County

DUPAGE

Ever Disciplined

LastModifiedDate

09/26/2006