DAVID M MATUSIAK DO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125020104

License Status

EXPIRED

Business

First Name

DAVID M

Last Name

MATUSIAK

Suffix

Business Name

DAVID M MATUSIAK DO

Original Issue Date

07/16/1986

Effective Date

07/16/1986

Expiration Date

07/01/1989

City

PARK RIDGE

State

Zip

60068

County

COOK

Specialty/Qualifier

Pediatrics

Ever Disciplined

LastModifiedDate

09/22/2006