MARY M MARTINO DPM Podiatrist License verification

Business Entity

INACTIVE

License Type

Podiatrist

Description

LICENSED PODIATRIC PHYSICIAN

License Number

016004178

License Status

INACTIVE

Business

First Name

MARY

Middle

Last Name

MARTINO

Suffix

DPM

Business Name

MARY M MARTINO DPM

Original Issue Date

09/15/1987

Effective Date

01/25/2019

Expiration Date

01/31/2021

City

MUNDELEIN

State

Zip

60060

County

LAKE

Ever Disciplined

LastModifiedDate

11/08/2020