MATILDA M MENGIS MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125028506

License Status

EXPIRED

Business

First Name

MATILDA M

Last Name

MENGIS

Suffix

Business Name

MATILDA M MENGIS MD

Original Issue Date

06/01/1992

Effective Date

06/01/1992

Expiration Date

06/23/1995

City

CHICAGO

State

Zip

60637

County

COOK

Specialty/Qualifier

Psychiatry

Ever Disciplined

LastModifiedDate

09/22/2006