EDWARD ANTHONY MARTIN Podiatrist License verification

Business Entity

NOT RENEWED

License Type

Podiatrist

Description

LICENSED PODIATRY CONTROLLED SUBSTANCE

License Number

31*****89

License Status

NOT RENEWED

Business

First Name

EDWARD ANTHONY

Last Name

MARTIN

Business Name

EDWARD ANTHONY MARTIN

Original Issue Date

01/01/1998

Expiration Date

09/01/1982

City

CHICAGO

State

Zip

60625

County

COOK

Controlled Substance Schedule

II IV V

Ever Disciplined

LastModifiedDate

09/25/2006