MATT L MALTERS Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125044939

License Status

NOT RENEWED

Business

First Name

MATT

Middle

Last Name

MALTERS

Business Name

MATT L MALTERS

Original Issue Date

07/01/2002

Effective Date

07/01/2002

Expiration Date

09/05/2006

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Anesthesiology

Ever Disciplined

LastModifiedDate

11/03/2006