WISSAM ELIAS MATTAR MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

VISITING PHYSICIAN PERMIT

License Number

106000390

License Status

EXPIRED

Business

Title

First Name

WISSAM

Middle

ELIAS

Last Name

MATTAR

Business Name

WISSAM ELIAS MATTAR MD

Original Issue Date

01/01/2010

Effective Date

01/01/2010

Expiration Date

06/30/2010

City

CHICAGO

State

Zip

60637

County

COOK

Specialty/Qualifier

Gastroenterology

Ever Disciplined

LastModifiedDate

07/08/2010