CYNTHIA I MATA Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036105163

License Status

ACTIVE

Business

First Name

CYNTHIA

Middle

Last Name

MATA

Business Name

CYNTHIA I MATA

Original Issue Date

07/10/2001

Effective Date

05/01/2023

Expiration Date

07/31/2026

City

DOWNERS GROVE

State

Zip

60515

County

DUPAGE

Ever Disciplined

LastModifiedDate

05/01/2023