ANITHA ELIZABETH MATHEW MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125053261

License Status

CANCELLED

Business

First Name

ANITHA

Middle

ELIZABETH

Last Name

MATHEW

Suffix

Business Name

ANITHA ELIZABETH MATHEW MD

Original Issue Date

06/24/2007

Effective Date

06/24/2007

Expiration Date

06/23/2010

City

CHICAGO

State

Zip

60637

County

COOK

Specialty/Qualifier

Emergency Medicine

Ever Disciplined

LastModifiedDate

04/24/2007