EILEEN A MARTIN Podiatrist License verification

Business Entity

NOT RENEWED

License Type

Podiatrist

Description

LICENSED PODIATRIC PHYSICIAN

License Number

016003046

License Status

NOT RENEWED

Business

First Name

EILEEN A

Last Name

MARTIN

Business Name

EILEEN A MARTIN

Original Issue Date

10/04/1978

Effective Date

10/04/1978

Expiration Date

01/31/2005

City

EVANSTON

State

Zip

60201

County

COOK

Ever Disciplined

LastModifiedDate

10/09/2006