JAMES E MATHIS JR Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036101838

License Status

NOT RENEWED

Business

First Name

JAMES

Middle

Last Name

MATHIS

Suffix

Business Name

JAMES E MATHIS JR

Original Issue Date

01/25/2000

Effective Date

01/25/2000

Expiration Date

07/31/2002

City

CHICAGO

State

Zip

60607

County

COOK

Ever Disciplined

LastModifiedDate

10/09/2006