WAYNE EDWARD MATHY MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036035050

License Status

NOT RENEWED

Business

First Name

WAYNE EDWARD

Last Name

MATHY

Suffix

Business Name

WAYNE EDWARD MATHY MD

Original Issue Date

12/06/1957

Effective Date

07/31/2006

Expiration Date

07/31/2008

City

COUNTRYSIDE

State

Zip

60525

County

COOK

Ever Disciplined

LastModifiedDate

11/06/2008