MATI BAKON MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125029214

License Status

EXPIRED

Business

First Name

MATI

Last Name

BAKON

Suffix

Business Name

MATI BAKON MD

Original Issue Date

03/05/1993

Effective Date

03/05/1993

Expiration Date

06/30/1994

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Diagnostic Radiology

Ever Disciplined

LastModifiedDate

09/22/2006