ANDREW D MARTIN DPM Podiatrist License verification

Business Entity

ACTIVE

License Type

Podiatrist

Description

LICENSED PODIATRY CONTROLLED SUBSTANCE

License Number

31*****90

License Status

ACTIVE

Business

First Name

ANDREW

Middle

Last Name

MARTIN

Suffix

DPM

Business Name

ANDREW D MARTIN DPM

Original Issue Date

07/16/2002

Effective Date

01/09/2025

Expiration Date

01/31/2027

City

CRESTWOOD

State

Zip

60418

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/16/2025