MARY JYOTHI MATTA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036115369

License Status

NOT RENEWED

Business

First Name

MARY

Middle

JYOTHI

Last Name

MATTA

Suffix

Business Name

MARY JYOTHI MATTA MD

Original Issue Date

03/13/2006

Effective Date

06/26/2008

Expiration Date

07/31/2011

City

OAK LAWN

State

Zip

60453

County

COOK

Ever Disciplined

LastModifiedDate

11/14/2011