NIBY MATHEW MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125051772

License Status

CANCELLED

Business

First Name

NIBY

Last Name

MATHEW

Suffix

Business Name

NIBY MATHEW MD

Original Issue Date

06/26/2006

Effective Date

06/26/2006

Expiration Date

06/25/2009

City

FRANKFORT

State

Zip

60423

County

WILL

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

09/22/2006