RICHARD CHARLES MATHER III MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036125613

License Status

NOT RENEWED

Business

Title

First Name

RICHARD

Middle

CHARLES

Last Name

MATHER

Suffix

III

Business Name

RICHARD CHARLES MATHER III MD

Original Issue Date

04/29/2010

Effective Date

07/14/2011

Expiration Date

07/31/2014

City

CHICAGO

State

Zip

60607

County

COOK

Ever Disciplined

LastModifiedDate

11/17/2014