ANNAMMA V MATHEW MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125025653

License Status

EXPIRED

Business

First Name

ANNAMMA V

Last Name

MATHEW

Suffix

Business Name

ANNAMMA V MATHEW MD

Original Issue Date

06/21/1990

Effective Date

06/21/1990

Expiration Date

06/21/1993

City

OAK LAWN

State

Zip

60453

County

COOK

Specialty/Qualifier

Pediatrics

Ever Disciplined

LastModifiedDate

09/22/2006