Dianna Carol Martin

License

Licensed by

Illinois Department of Financial and Professional Regulation

License number

085005724

Status

Expired (Not Renewed)

First issued

October 29, 2015

Expired

March 1, 2018

License holder

Dianna Carol Martin

Entity type

Individual

Classifications

• Licensed Physician Assistant Physicians & Surgeons

More from the license record

Current term began

02/25/2016

Other Illinois licenses under this name

• IL
  Dianna Carol Martin

  License 38*****42

  Physician Assistant Controlled Substance
  Expired

  Peoria, IL

  Expired Mar 1, 2018

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