HOLLY M MARTYN Physician Assistant License verification

Business Entity

INOPERATIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****70

License Status

INOPERATIVE

Business

First Name

HOLLY

Middle

Last Name

MARTYN

Business Name

HOLLY M MARTYN

Original Issue Date

01/29/2010

Effective Date

02/29/2024

Expiration Date

03/01/2026

City

CHICAGO

State

Zip

60602

County

COOK

Ever Disciplined

LastModifiedDate

04/05/2024