KENNETH JEFFREY MATTEONI MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036098172

License Status

NOT RENEWED

Business

First Name

KENNETH

Middle

JEFFREY

Last Name

MATTEONI

Suffix

Business Name

KENNETH JEFFREY MATTEONI MD

Original Issue Date

07/06/1998

Effective Date

07/06/1998

Expiration Date

07/31/1999

City

CHICAGO

State

Zip

60612

County

COOK

Ever Disciplined

LastModifiedDate

09/20/2006