ROBERT F MATLOCK MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125040703

License Status

EXPIRED

Business

Title

First Name

ROBERT

Middle

Last Name

MATLOCK

Business Name

ROBERT F MATLOCK MD

Original Issue Date

06/20/2000

Effective Date

06/20/2000

Expiration Date

06/19/2005

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Orthopaedic Surgery

Ever Disciplined

LastModifiedDate

09/22/2006