RICHARD N MATASSA MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036043084

License Status

INACTIVE

Business

First Name

RICHARD N

Last Name

MATASSA

Suffix

Business Name

RICHARD N MATASSA MD

Original Issue Date

01/06/1970

Effective Date

05/26/2011

Expiration Date

07/31/2014

City

BLOOMINGDALE

State

Zip

60108

County

DUPAGE

Ever Disciplined

LastModifiedDate

04/08/2014