CARL P MATTIODA MD AND Medical Corporation License verification

Business Entity

NOT RENEWED

License Type

Medical Corporation

Description

REGISTERED MEDICAL CORPORATION

License Number

042004357

License Status

NOT RENEWED

Business

Business Name

CARL P MATTIODA MD AND

Original Issue Date

12/02/1980

Effective Date

01/08/2019

Expiration Date

01/01/2022

City

STREATOR

State

Zip

61364

County

LA SALLE

Ever Disciplined

LastModifiedDate

02/15/2023