KATHERINE D MATTA Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125046266

License Status

EXPIRED

Business

First Name

KATHERINE

Middle

Last Name

MATTA

Business Name

KATHERINE D MATTA

Original Issue Date

05/15/2003

Effective Date

05/15/2003

Expiration Date

06/22/2006

City

MAYWOOD

State

Zip

60153

County

COOK

Specialty/Qualifier

Obstetrics & Gynecology

Ever Disciplined

LastModifiedDate

09/22/2006