CYNTHIA I MATA Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125037326

License Status

EXPIRED

Business

First Name

CYNTHIA

Middle

Last Name

MATA

Business Name

CYNTHIA I MATA

Original Issue Date

04/23/1998

Effective Date

04/23/1998

Expiration Date

06/30/2001

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Pediatrics

Ever Disciplined

LastModifiedDate

09/22/2006