ROBERT PAUL MARTIN DPM Podiatrist License verification

Business Entity

NOT RENEWED

License Type

Podiatrist

Description

LICENSED PODIATRY CONTROLLED SUBSTANCE

License Number

31*****24

License Status

NOT RENEWED

Business

First Name

ROBERT

Middle

PAUL

Last Name

MARTIN

Suffix

DPM

Business Name

ROBERT PAUL MARTIN DPM

Original Issue Date

08/16/1999

Effective Date

08/16/1999

Expiration Date

01/31/2003

City

MANTENO

State

Zip

60950

County

KANKAKEE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006