JONATHON A MAITEM DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036093239

License Status

NOT RENEWED

Business

First Name

JONATHON A

Last Name

MAITEM

Suffix

Business Name

JONATHON A MAITEM DO

Original Issue Date

06/19/1996

Effective Date

06/19/1996

Expiration Date

07/31/1999

City

BURR RIDGE

State

Zip

60521

County

DUPAGE

Ever Disciplined

LastModifiedDate

09/20/2006