ANDREW D MARTIN DPM Podiatrist License verification

Business Entity

EXPIRED

License Type

Podiatrist

Description

TEMPORARY PODIATRIC PHYSICIAN

License Number

135000466

License Status

EXPIRED

Business

First Name

ANDREW

Middle

Last Name

MARTIN

Suffix

DPM

Business Name

ANDREW D MARTIN DPM

Original Issue Date

10/06/2000

Effective Date

10/06/2000

Expiration Date

06/30/2002

City

CRESTWOOD

State

Zip

60418

Ever Disciplined

LastModifiedDate

09/25/2006