CIBLE MATHULLA MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125052118

License Status

EXPIRED

Business

First Name

CIBLE

Last Name

MATHULLA

Suffix

Business Name

CIBLE MATHULLA MD

Original Issue Date

07/06/2006

Effective Date

07/06/2006

Expiration Date

07/05/2009

City

HINSDALE

State

Zip

60521

County

DUPAGE

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

07/15/2009