SUZANNE P MATTOX MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036081693

License Status

NOT RENEWED

Business

First Name

SUZANNE P

Last Name

MATTOX

Suffix

Business Name

SUZANNE P MATTOX MD

Original Issue Date

10/23/1990

Effective Date

10/23/1990

Expiration Date

07/31/1993

City

LINCOLNWOOD

State

Zip

60646

County

COOK

Ever Disciplined

LastModifiedDate

09/20/2006