LESLIE ANNE MATAYA MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036161291

License Status

ACTIVE

Business

Title

First Name

LESLIE

Middle

ANNE

Last Name

MATAYA

Business Name

LESLIE ANNE MATAYA MD

Original Issue Date

07/09/2022

Effective Date

04/07/2023

Expiration Date

07/31/2026

City

HOMEWOOD

State

Zip

60430

County

COOK

Ever Disciplined

LastModifiedDate

04/07/2023