GINA ANN MATHEW DO Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125056731

License Status

CANCELLED

Business

Title

First Name

GINA

Middle

ANN

Last Name

MATHEW

Business Name

GINA ANN MATHEW DO

Original Issue Date

08/07/2012

Effective Date

08/07/2012

Expiration Date

08/06/2013

City

CHICAGO

State

Zip

60630

County

COOK

Specialty/Qualifier

Internal Medicine/Pediatrics

Ever Disciplined

LastModifiedDate

08/07/2012