CARLY MARIE MARTINEZ Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****83

License Status

ACTIVE

Business

First Name

CARLY

Middle

MARIE

Last Name

MARTINEZ

Business Name

CARLY MARIE MARTINEZ

Original Issue Date

03/09/2011

Effective Date

02/28/2026

Expiration Date

03/01/2028

City

CHICAGO

State

Zip

60609

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/28/2026