CHRISTINE MARIE MATA MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036135571

License Status

ACTIVE

Business

Title

First Name

CHRISTINE

Middle

MARIE

Last Name

MATA

Business Name

CHRISTINE MARIE MATA MD

Original Issue Date

06/18/2014

Effective Date

04/07/2023

Expiration Date

07/31/2026

City

NILES

State

Zip

60714

County

COOK

Ever Disciplined

LastModifiedDate

07/27/2023