NANA MATOBA Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125043962

License Status

EXPIRED

Business

First Name

NANA

Last Name

MATOBA

Business Name

NANA MATOBA

Original Issue Date

06/27/2002

Effective Date

06/27/2002

Expiration Date

06/26/2005

City

PARK RIDGE

State

Zip

60068

County

COOK

Specialty/Qualifier

Pediatrics

Ever Disciplined

LastModifiedDate

09/22/2006