KENT S MARTIN Podiatrist License verification

Business Entity

NOT RENEWED

License Type

Podiatrist

Description

LICENSED PODIATRY CONTROLLED SUBSTANCE

License Number

31*****04

License Status

NOT RENEWED

Business

First Name

KENT S

Last Name

MARTIN

Business Name

KENT S MARTIN

Original Issue Date

06/22/1990

Effective Date

06/22/1990

Expiration Date

01/31/1999

City

CHICAGO

State

Zip

60610

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/25/2006