KATRINA ANDREA MATTINGLY MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125054552

License Status

CANCELLED

Business

Title

First Name

KATRINA

Middle

ANDREA

Last Name

MATTINGLY

Business Name

KATRINA ANDREA MATTINGLY MD

Original Issue Date

06/24/2008

Effective Date

06/24/2008

Expiration Date

06/23/2011

City

CHICAGO

State

Zip

60637

County

COOK

Specialty/Qualifier

Emergency Medicine

Ever Disciplined

LastModifiedDate

05/27/2008