SUZANNE P MATTOX MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125022713

License Status

EXPIRED

Business

First Name

SUZANNE P

Last Name

MATTOX

Suffix

Business Name

SUZANNE P MATTOX MD

Original Issue Date

06/11/1988

Effective Date

06/11/1988

Expiration Date

06/27/1991

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006