LYDIA MATTIE EVO RA JONES Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125035986

License Status

EXPIRED

Business

First Name

LYDIA MATTIE EVO

Middle

Last Name

JONES

Business Name

LYDIA MATTIE EVO RA JONES

Original Issue Date

05/14/1997

Effective Date

05/14/1997

Expiration Date

06/23/1998

City

CHICAGO

State

Zip

60637

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006