SHANTA DEVI MATTAI MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125039953

License Status

EXPIRED

Business

First Name

SHANTA

Middle

DEVI

Last Name

MATTAI

Suffix

Business Name

SHANTA DEVI MATTAI MD

Original Issue Date

06/18/1999

Effective Date

06/18/1999

Expiration Date

06/17/2000

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006