THERESA M MATZURA DO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125017626

License Status

EXPIRED

Business

First Name

THERESA M

Last Name

MATZURA

Suffix

Business Name

THERESA M MATZURA DO

Original Issue Date

08/09/1984

Effective Date

08/09/1984

Expiration Date

08/01/1986

City

NORTH CHICAGO

State

Zip

60064

County

LAKE

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006