JASON SCOTT MATHIAS MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125053357

License Status

EXPIRED

Business

Title

First Name

JASON

Middle

SCOTT

Last Name

MATHIAS

Business Name

JASON SCOTT MATHIAS MD

Original Issue Date

06/18/2007

Effective Date

06/18/2007

Expiration Date

06/17/2010

City

CHICAGO

State

Zip

60611

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

06/24/2010