KRAIG L MARTIN Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****70

License Status

NOT RENEWED

Business

First Name

KRAIG

Middle

Last Name

MARTIN

Business Name

KRAIG L MARTIN

Original Issue Date

01/15/2008

Effective Date

01/15/2008

Expiration Date

03/01/2010

City

ARLINGTON HEIGHTS

State

Zip

60005

County

COOK

Ever Disciplined

LastModifiedDate

05/23/2008