Dianna Carol Martin
ExpiredIllinois license 38*****42
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 38*****42
- Status
- Expired (Not Renewed)
- First issued
- December 30, 2015
- Expired
- March 1, 2018
- License holder
- Dianna Carol Martin
- Entity type
- Individual
Classifications
- Physician Assistant Controlled Substance Physicians & Surgeons
More from the license record
- Current term began
- 12/30/2015
Other Illinois licenses under this name
-
IL
ExpiredDunlap, ILExpired Mar 1, 2018
Contact
Peoria, IL 61614
Peoria County