LAURE GRACE DEMATTIA DO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125043400

License Status

EXPIRED

Business

Title

First Name

LAURE

Middle

GRACE

Last Name

DEMATTIA

Business Name

LAURE GRACE DEMATTIA DO

Original Issue Date

06/18/2001

Effective Date

06/18/2001

Expiration Date

06/17/2004

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

09/22/2006