FEDERICO L MATTIOLI Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125034561

License Status

EXPIRED

Business

First Name

FEDERICO

Middle

Last Name

MATTIOLI

Business Name

FEDERICO L MATTIOLI

Original Issue Date

05/20/1996

Effective Date

05/20/1996

Expiration Date

06/18/1997

City

CHICAGO

State

Zip

60611

County

COOK

Ever Disciplined

LastModifiedDate

11/19/2014