MARY JYOTHI MATTA MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125046030

License Status

EXPIRED

Business

First Name

MARY

Middle

JYOTHI

Last Name

MATTA

Suffix

Business Name

MARY JYOTHI MATTA MD

Original Issue Date

06/24/2003

Effective Date

06/24/2003

Expiration Date

06/27/2006

City

OAK LAWN

State

Zip

60453

County

COOK

Specialty/Qualifier

Pediatrics

Ever Disciplined

LastModifiedDate

09/22/2006