FELICIA S MATA DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019024302

License Status

NOT RENEWED

Business

First Name

FELICIA S

Last Name

MATA

Suffix

DMD

Business Name

FELICIA S MATA DMD

Original Issue Date

10/04/1996

Effective Date

10/31/2021

Expiration Date

09/30/2024

City

CHICAGO

State

Zip

60602

County

COOK

Ever Disciplined

LastModifiedDate

02/04/2025