MARY M MARTINO DPM Podiatrist License verification

Business Entity

NOT RENEWED

License Type

Podiatrist

Description

LICENSED PODIATRY CONTROLLED SUBSTANCE

License Number

31*****10

License Status

NOT RENEWED

Business

First Name

MARY

Middle

Last Name

MARTINO

Suffix

DPM

Business Name

MARY M MARTINO DPM

Original Issue Date

10/09/1990

Effective Date

01/25/2019

Expiration Date

01/31/2021

City

MUNDELEIN

State

Zip

60060

County

LAKE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/11/2021