SHAUN K MATHEN DO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125049661

License Status

EXPIRED

Business

First Name

SHAUN

Middle

Last Name

MATHEN

Suffix

Business Name

SHAUN K MATHEN DO

Original Issue Date

06/20/2005

Effective Date

06/20/2005

Expiration Date

06/19/2008

City

DEKALB

State

Zip

60115

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

06/26/2008