MARY M MARTINO DPM Podiatrist License verification

Business Entity

NOT RENEWED

License Type

Podiatrist

Description

LICENSED PODIATRY CONTROLLED SUBSTANCE

License Number

31*****09

License Status

NOT RENEWED

Business

First Name

MARY

Middle

Last Name

MARTINO

Suffix

DPM

Business Name

MARY M MARTINO DPM

Original Issue Date

10/14/1987

Effective Date

10/14/1987

Expiration Date

01/31/1997

City

CHICAGO

State

Zip

60618

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/25/2006