JACOB NATHANIEL MATTOX MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036162317

License Status

ACTIVE

Business

Title

First Name

JACOB

Middle

NATHANIEL

Last Name

MATTOX

Business Name

JACOB NATHANIEL MATTOX MD

Original Issue Date

09/10/2022

Effective Date

04/23/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60615

County

COOK

Ever Disciplined

LastModifiedDate

04/23/2023